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Individual

JOHN W GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1048 N MCEWAN ST, CLARE, MI 48617-1154
(989) 386-2900
(989) 386-3710
Mailing address
11271 HARRISON AVE, FARWELL, MI 48622-9439
(989) 339-9008
(855) 855-4919

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027910
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2365496
MI
Enumeration date
06/23/2017
Last updated
06/25/2023
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