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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
Contact & Hours
- Address
- 3815 N SCHREIBER WAY STE 101
COEUR D ALENE, ID 83815 - Phone
- (208) 755-2804
Quick Facts
- NPI
- 1649879081
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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