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General NPI Number Information
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NPI Number | 1235240961
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Entity Type | Individual
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Provider Name | MILTON DAVID GROSS MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 1500 EAST MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL ROOM B1G412
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City | ANN ARBOR
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State | MI
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Zip | 48109-5028
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Country | US
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Telephone | 734-936-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-936-2047
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301035371
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 4301035371
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 4301035371
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207UN0903X
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Taxonomy Name | In Vivo & In Vitro Nuclear Medicine Physician
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License Number | 4301035371
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License Number State | MI
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