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1770512410
DEREK I GROSSMAN
TRAVERSE CITY, MI
NPI
1770512410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101011248)
Enumeration Date
2006-07-03
Last Update Date
2021-04-12
Business Address
DEREK I GROSSMAN DO
5365 HIDDEN GLEN DR
TRAVERSE CITY, MI 49684-7042
Phone number: 989-621-5014
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Mailing Address
DEREK I GROSSMAN DO
PO BOX 107
TRAVERSE CITY, MI 49685-0107
Phone number: 231-922-9270
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