Individual
MR. MICHAEL DEAN GROWCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7010 GARLAND ST, LINCOLN, NE 68505-1444
(402) 617-8175
Mailing address
3243 CORNHUSKER HWY STE A10, LINCOLN, NE 68504-1592
(402) 202-8087
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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