Individual
MICHELLE GRONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48515 STONEACRE DR, MACOMB, MI 48044-1883
(586) 431-0418
Mailing address
48515 STONEACRE DR, MACOMB, MI 48044-1883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704280063
MI
Other
Enumeration date
05/19/2013
Last updated
05/19/2013
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