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GRACE MULIAWAN, PA-C

PA-C

Physician Assistant

NPI: 1649879081IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

PA-1991(ID)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-1991(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2020

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Contact & Hours

4.2(25)

Via Challis Area Health Center/ · 2 locations total

Address
611 CLINIC RD
CHALLIS, ID 83226
4.2
(25)
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Locations (2)

Challis Area Health Center/

611 CLINIC RD, CHALLIS, ID
4.2(208) 879-4351

Practice Location

3815 N SCHREIBER WAY STE 101, COEUR D ALENE, ID
(208) 755-2804

Quick Facts

NPI
1649879081
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
6

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