Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301035371 | MI |
N | 111NI0900X | Internist | 4301035371 | MI |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301035371 | MI |
N | 207U00000X | Nuclear Medicine Specialist | 4301035371 | MI |
NPI | 1235240961 |
---|---|
Provider Name | Dr. Milton David Gross |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 28/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1367539 | (05) | MI |
B48011 | (02) | MI |