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NPI Code Detail

MEDICARE: GRACE KATHRYN DUKE

MEDICARE: GRACE KATHRYN DUKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther TechnicianMI

General Provider Information

NPI Number : 1861356024
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE KATHRYN DUKE
Provider Business Mailing Address
First Line : 26545 AMERICAN DR
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-6115
Country : US
Telephone Number : 800-395-3223
Fax Number : 248-620-6405
Provider Business Practice Location Address
First Line : 501 N MAPLE RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-2827
Country : US
Telephone Number : 800-395-3223
Fax Number : 248-620-6405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ GRACE KATHRYN DUKE ” Practice Location

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