Healthcare Provider Details

I. General information

NPI: 1437227923
Provider Name (Legal Business Name): NORTH POINT MEDICAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9838 DIXIE HWY
IRA MI
48023-2813
US

IV. Provider business mailing address

PO BOX 327
ANCHORVILLE MI
48004-0327
US

V. Phone/Fax

Practice location:
  • Phone: 586-725-9611
  • Fax: 586-725-2630
Mailing address:
  • Phone: 586-725-9611
  • Fax: 586-725-2630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101007067
License Number StateMI

VIII. Authorized Official

Name: DR. BARRY J GROSS
Title or Position: PRESIDENT
Credential: DO
Phone: 586-725-9611