Individual
ALICIA GRONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20311 MACK AVE, GROSSE POINTE WOODS, MI 48236-1784
(313) 499-6000
Mailing address
17197 N LAUREL PARK DR STE 107, LIVONIA, MI 48152-7910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010278
MI
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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