Individual
KATHRYN M GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007
(269) 341-8481
Mailing address
13320 N BOULEVARD ST, VICKSBURG, MI 49097-1514
(269) 649-2012
(269) 649-3752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
KG080105
MI
207R00000X
Internal Medicine Physician
Primary
4301080105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4893119
—
MI
01
—
CA2184
RAILROAD MEDICARE
MI
Enumeration date
02/14/2006
Last updated
11/27/2023
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