Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Pediatrics PC

Organization Primary Care Clinic/Center · NPI 1003482019

Grace Pediatrics PC is a Primary Care Clinic/Center in Pontiac, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

44200 Woodward Ave Ste 103
Pontiac, MI 48341-5046
Phone: (248) 253-9600
Fax: (248) 253-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1003482019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Pullukat — Owner · (248) 884-3879
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address44200 Woodward Ave Ste 103, Pontiac, MI 48341-5046

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