Individual
MICHAEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 SOUTH DR, MT PLEASANT, MI 48858-3234
(989) 772-6700
(989) 772-6807
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3234
(989) 772-6700
(989) 772-6807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301062982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4711510
—
MI
Enumeration date
06/27/2006
Last updated
07/08/2007
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