Barry J Gross
Family Doctor Family Doctor - Addiction Medicine
9838 Dixie Hwy
Fair Haven
, Michigan 48023-2813
Barry J Gross
Family Doctor Family Doctor - Addiction Medicine
9838 Dixie Hwy
Fair Haven
, Michigan 48023-2813
(586) 725-2630
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Barry J Gross
- 9838 Dixie Hwy
- Fair Haven, MI
- Zip : 48023-2813
- Fax : (586) 725-2630
- Phone : (586) 725-9611
Second Address
- Barry J Gross
- 9838 Dixie Hwy
- Fair Haven, MI
- Zip : 48023-2813
- Fax : (586) 725-2630
- Phone : (586) 725-9611
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 5101007067 | MI |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 5101007067 | MI |
National Provider Identifier
| NPI | 1811952294 |
|---|---|
| Provider Name | Barry J Gross |
| First Address | Fair Haven, MI 48023-2813 |
| Second Address | Fair Haven, MI 48023-2813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 05/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1097101 | (05) | MI |
| E39807 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.