Organization
PRINCE WILLIAM PLASTIC SURGERY AND SPA SERVICES COMPANY, LLC
Active
Other names
Michael P Gross, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHILLIP GROSS M.D. (CLINICAL DIRECTOR)
(703) 494-1163
Entity
Organization
Contact information
Practice address
1940 OPITZ BOULEVARD, WOODBRIDGE, VA 22191
(703) 494-1163
(703) 494-2181
Mailing address
1940 OPITZ BOULEVARD, WOODBRIDGE, VA 22191
(703) 494-1163
(703) 494-2181
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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