Kathryn M Grossman in Vicksburg - Internal Medicine

Kathryn M Grossman - NPI 1780658146

Kathryn M Grossman is a Internal Medicine in Vicksburg, Michigan. Kathryn M Grossman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kathryn M Grossman is 1780658146. The last update date is 2023-11-27.

Kathryn M Grossman's current location address is 13320 N Boulevard St, Vicksburg, Michigan. You can contact this provider via phone number 2696492012 and fax number 2696493752. The mailing address for Kathryn M Grossman is 13320 N Boulevard St, Vicksburg, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn M Grossman
Address 13320 N Boulevard St, Vicksburg, Michigan
Phone Number 2696492012
Fax Number 2696493752
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1780658146
Provider Enumeration Date 2006-02-14
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address 13320 N Boulevard St
City Vicksburg
State Michigan (MI)
Post Code 490971514
Phone Number 2696492012
Fax Number 2696493752

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 4301080105
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4893119 MI --
CA2184 MI RAILROAD MEDICARE

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FAQs about Kathryn M Grossman

What is the Kathryn M Grossman's unique identification number?

The Kathryn M Grossman has been assigned the NPI (National Provider Identifier) Number 1780658146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kathryn M Grossman is located?

The Kathryn M Grossman is situated at the following address: 13320 N Boulevard St, Vicksburg, MI, 490971514.

What is Kathryn M Grossman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kathryn M Grossman is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780658146 to Kathryn M Grossman?

The Kathryn M Grossman received its 1780658146 assignment from the Centers for Medicare & Medicaid Services on 2006-02-14.

As of what date were the details pertaining to Kathryn M Grossman last refreshed?

The information related to the Kathryn M Grossman, including its address, specialty, and other relevant details, was last updated on 2023-11-27.

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