Individual
MICHAEL JAMES GROSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
305 W COLLEGE AVE, SUITE A, SHELBY, NC 28152-8111
(704) 434-9686
(704) 434-9618
Mailing address
373 DARK CORNER RD, RUTHERFORDTON, NC 28139-6757
(704) 418-1210
(704) 434-9618
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9501262
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007P
BCBS IND
NC
05
—
891007P
—
NC
Enumeration date
01/07/2006
Last updated
02/09/2015
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