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NPI Code Detail

MEDICARE: NORTH POINT MEDICAL CENTER PC

MEDICARE: NORTH POINT MEDICAL CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician5101007067MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2G7223OTHERTXLICENSE
3A-663-77OTHERNMLICENSE
45101007067OTHERMILICENSE
5E39807OTHERMIHAP
60857400645OTHERMIBCBS PROVIDER

General Provider Information

NPI Number : 1437227923
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH POINT MEDICAL CENTER PC
Provider Business Mailing Address
First Line : PO BOX 327
Second Line :
City : ANCHORVILLE
State : MI
Zip : 48004-0327
Country : US
Telephone Number : 586-725-9611
Fax Number : 586-725-2630
Provider Business Practice Location Address
First Line : 9838 DIXIE HWY
Second Line :
City : IRA
State : MI
Zip : 48023-2813
Country : US
Telephone Number : 586-725-9611
Fax Number : 586-725-2630
Authorized Official
Title or Position : PRESIDENT
Name : DR. BARRY J GROSS
Credential : DO
Telephone Number : 586-725-9611
Provider Enumeration Date : 12/01/2006
Last Update Date : 03/07/2023

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Directions to “NORTH POINT MEDICAL CENTER PC ” Practice Location

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