Traci Lynn Grossman in Royal Oak - Physician Assistant
Traci Lynn Grossman - NPI 1104072040
Traci Lynn Grossman is a Physician Assistant in Royal Oak, Michigan. Traci Lynn Grossman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Traci Lynn Grossman is 1104072040. The last update date is 2012-11-08.
Traci Lynn Grossman's current location address is 3602 Elmhurst Ave, Royal Oak, Michigan. You can contact this provider via phone number 9894158652. The mailing address for Traci Lynn Grossman is 3602 Elmhurst Ave, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Lynn Grossman |
|---|---|
| Address | 3602 Elmhurst Ave, Royal Oak, Michigan |
| Phone Number | 9894158652 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104072040 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2012-11-08 |
Provider Mailing Address Detail
| Address | 3602 Elmhurst Ave |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480732332 |
| Phone Number | 9894158652 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601005369 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Traci Lynn Grossman by the Centers for Medicare & Medicaid Services (CMS)?
The Traci Lynn Grossman has been assigned the NPI (National Provider Identifier) 1104072040. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Traci Lynn Grossman's facilities are situated?
The facilities of Traci Lynn Grossman are physically located at the following address: 3602 Elmhurst Ave, Royal Oak, MI, 480732332.
What is Traci Lynn 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 Traci Lynn Grossman is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1104072040 assigned to Traci Lynn Grossman?
The Traci Lynn Grossman was issued its 1104072040 on 2008-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Traci Lynn Grossman most recently updated?
The details pertaining to the Traci Lynn Grossman, including its address, specialty, and other relevant information, were last refreshed on 2012-11-08.