Individual provider · Type 1 NPI
Mira Grace, MD
Addiction Medicine (Family Medicine) Physician · Clinton Township, MI
NPI number
1659667293
Active
Practice location
43191 Dalcoma Dr Ste 101
Clinton Township, MI 48038-6308
Fax (248) 810-4727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 4301507706 (MI) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
About NPI 1659667293
Mira Grace, MD's National Provider Identifier is 1659667293, issued on Jun 22, 2011. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Clinton Township, MI. The record was last updated on Sep 2, 2026.