Individual
MITCHELL T GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(419) 921-5313
Mailing address
1215 W 10TH ST APT 607, CLEVELAND, OH 44113-1280
(419) 921-5313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005511RX
OH
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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