Kimberly J Gross PA-C

NPI 1710212295 - Physician Assistant - 363A00000X

NPI Details
NPI 1710212295
Gender Female
Enumeration Date 10/16/2009
Last Updated 10/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
955 W EISENHOWER CIR
#D
ANN ARBOR MI, 48103-5868, US
Phone (734) 747-8500
Fax
Business Location
4816 HY DALE DR
PINCKNEY MI, 48169-1007, US
Phone (517) 304-5285
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601005630
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According to our database, Kimberly J Gross PA-C NPI is 1710212295, taxonomy code is 363A00000X and license number is 5601005630, license state is located at Michigan. Kimberly J Gross PA-C physically located at 955 W Eisenhower Cir, Ann Arbor MI, 48103-5868. NPI Number Kimberly J Gross PA-C has the Individual type.

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1710212295 NPI number is provided on an as is basis without warranty of any kind. 1710212295 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly J Gross PA-C are for informational purposes only.