Brian Grossman, | |
14575 Southfield Rd, Allen Park, MI 48101-2640 | |
(313) 381-8787 | |
Not Available |
Full Name | Brian Grossman |
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Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 14575 Southfield Rd, Allen Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366949596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 4704306156 (Michigan) | Primary |
Entity Name | Downriver Ent Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134304595 PECOS PAC ID: 6305933326 Enrollment ID: O20080104000527 |
Mailing Address | Practice Location Address |
---|---|
Brian Grossman, 460 E Cambourne St, Ferndale, MI 48220-1306 Ph: (248) 672-9442 | Brian Grossman, 14575 Southfield Rd, Allen Park, MI 48101-2640 Ph: (313) 381-8787 |
Melissa Erin Hana, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15101 Southfield Rd Ste 101, Allen Park, MI 48101 Phone: 313-383-3333 | |
Eid Tahsine Eid, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Mrs. Theodora Chukwudi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7445 Allen Rd Ste 270, Allen Park, MI 48101 Phone: 313-920-6546 Fax: 313-949-5793 | |
Jazminn Martinez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14825 Southfield Rd, Allen Park, MI 48101 Phone: 313-383-7071 | |
Linsey Lozon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd Ste 210, Allen Park, MI 48101 Phone: 313-388-9552 | |
Dione Michel Johnson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15606 Southfield Rd, Allen Park, MI 48101 Phone: 313-216-6200 | |
Ashley Singh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7445 Allen Rd Ste 250, Allen Park, MI 48101 Phone: 734-282-2800 |