Individual
MICHAEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1918 HIKES LANE, SUITE 102, JENCARE NEIGHBORHOOD MEDICAL NEWBURG, LLC, LOUISVILLE, KY 40218
(502) 473-4067
(502) 473-4067
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(502) 473-4067
(502) 473-4077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40264
KY
207R00000X
Internal Medicine Physician
TP627
KY
Other
Enumeration date
07/06/2006
Last updated
03/24/2020
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