Whalio Doctors

NPI 1245406776

Kendall Andrew Grose, DO

Practitioner Pain Medicine (Physical Medicine & Rehabilitation) Physician Wyandotte, MI

Practice location

Address
2333 Biddle Ave, Wyandotte, MI 48192-4668
Phone
(734) 246-8004
Fax
(734) 287-9129

Registered specialties (2)

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 8637408-1204 (UT)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 38 2791823 (MI)

Registry record

NPI
1245406776
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 May 2008
Record last updated
21 Jun 2023

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.