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1710982848
MICHAEL J GROSSERODE
JOHNSON CITY, TN
NPI
1710982848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 26879)
Enumeration Date
2005-06-16
Last Update Date
2021-03-31
Business Address
MICHAEL J GROSSERODE MD
301 MED TECH PKWY STE 280
JOHNSON CITY, TN 37604-2364
Phone number: 423-794-5550
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Mailing Address
MICHAEL J GROSSERODE MD
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-5550
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