Individual
GLENN RICHARD GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., AC, CH NCCAOM
Contact information
Practice address
6639 CENTURION DR, SUITE 200, LANSING, MI 48917-8276
(517) 323-3858
Mailing address
6639 CENTURION DR, SUITE 200, LANSING, MI 48917-8276
(517) 323-3858
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5153
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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