Individual provider · Type 1 NPI
Mikaela Nicole Grudzien, MD
Student in an Organized Health Care Education/Training Program · White Lake, MI
NPI number
1619767456
Active
Practice location
8465 Eastway Dr
White Lake, MI 48386-3584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in White Lake
About NPI 1619767456
Mikaela Nicole Grudzien, MD's National Provider Identifier is 1619767456, issued on May 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in White Lake, MI. The record was last updated on May 6, 2025.