Individual
MICHAEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL DR DEPT OF, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL DR DEPT OF, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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