Individual
MR. MICHAEL DAVID GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
105 CHURCH ST, RAINBOW CITY, AL 35906-6242
(256) 442-5172
(256) 442-5507
Mailing address
105 CHURCH ST, RAINBOW CITY, AL 35906-6242
(256) 442-5172
(256) 442-5507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-097473
AL
Other
Enumeration date
04/05/2011
Last updated
11/06/2015
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