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

Grace Mousan, MD

Individual provider Pediatrics Physician · NPI 1174878961

Grace Mousan, MD is a Pediatrics Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3901 Beaubien St
Detroit, MI 48201-2119
Phone: (313) 745-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301101389 (MI)

Record details

NPI number1174878961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012

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