Search › Michigan › 106S00000X
Gracie Bernardine
NPI 1992553861 · on the registry since 2024
Practice
- Address
- 8413 Cottonwood Dr
Jenison, MI 49428 - Phone
- (574) 387-4313
- Fax
- (574) 204-2868
- Clinicians at this address
- 65
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan