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1366949596
BRIAN GROSSMAN
ALLEN PARK, MI
NPI
1366949596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MI 4704306156)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
BRIAN GROSSMAN
14575 SOUTHFIELD RD
ALLEN PARK, MI 48101-2640
Phone number: 313-381-8787
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Mailing Address
BRIAN GROSSMAN
460 E CAMBOURNE ST
FERNDALE, MI 48220-1306
Phone number: 248-672-9442
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