NPI 1063855112

Demetria Ann Gross, RN

Practitioner Point of Service Clinton Township, MI

Practice location

Address: 41045 Vista Woods Way, Clinton Township, MI 48038-4536
Phone: (586) 291-1411

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 4704218611 (MI)

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Registry record

NPI: 1063855112
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2013
Record last updated: 9 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.