Individual
KENDALL ANDREW GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8004
(734) 287-9129
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8004
(734) 287-9129
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
38 2791823
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
8637408-1204
UT
Other
Enumeration date
05/05/2008
Last updated
06/21/2023
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