Nicole Groux is a Surgical in Detroit, Michigan. Nicole Groux practices all healthcare services and medical treatments related to Surgical. The NPI Number for Nicole Groux is 1053477620. The last update date is 2007-07-08.
Nicole Groux's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139161340 and fax number 3139168607. The mailing address for Nicole Groux is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Groux |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139161340 |
| Fax Number | 3139168607 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053477620 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139161340 |
| Fax Number | 3139168607 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601001213 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique identification code assigned to Nicole Groux by the Centers for Medicare & Medicaid Services?
The Nicole Groux has been issued the NPI (National Provider Identifier) 1053477620. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nicole Groux's physical address?
The Nicole Groux is physically located at 2799 W Grand Blvd, in the city of Detroit, MI, with the postal code 482022608.
What is the Nicole Groux's specialty and taxonomy code?
The Nicole Groux's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053477620 to Nicole Groux?
The Centers for Medicare & Medicaid Services assigned the 1053477620 to Nicole Groux on 2006-12-28.
As of what date were the details related to Nicole Groux most recently updated or revised?
The information pertaining to Nicole Groux, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.