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Grace Baek, MSN, RN, CPNP-AC

Nurse Practitioner, Pediatrics in Detroit, MI. Individual provider (NPI-1).

NPI number1780191395
StatusActive
Last updated in NPPESJan 4, 2018

Details

NPI
1780191395
Entity type
Individual (NPI-1)
Name
Grace Baek
Credential
MSN, RN, CPNP-AC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2018
Last updated
Jan 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704286849MIYes

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Phone 313-745-5437

Mailing address

700 Newport Pl
Ann Arbor, MI 48103-3648

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