MRS. DEMETRIA ANN GROSS RN - NPI 1063855112 - Point of Service in Clinton Township, MI

Q: What is the provider's specialty?

The provider's specialty is Point of Service with taxonomy code 305S00000X.

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About Mrs. Demetria Ann Gross Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEMETRIA ANN GROSS RN (NPI 1063855112) is an individual point of service provider in Clinton Township, Michigan, licensed in Michigan (4704218611) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1063855112

Entity TypeIndividualFemale

Primary Taxonomy305S00000X

Provider Legal NameMRS. DEMETRIA ANN GROSSCredential: RN

Location Address41045 VISTA WOODS WAYClinton Township, MI 48038-4536

Mailing Address41045 Vista Woods WayClinton Township, MI 48038-4536 · (586) 291-1411

Phone(586) 291-1411

Sole ProprietorYes

Enumeration DateApril 9, 2013

✔ NPI 1063855112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in MI · 4704218611

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

41045 VISTA WOODS WAY, Clinton Township, MI 48038

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Frequently Asked Questions

What is Demetria Gross's NPI number?

The NPI number assigned to this healthcare provider is 1063855112, enumerated as an "individual" on April 09, 2013.

Where is the provider located?

The provider is located at 41045 VISTA WOODS WAY CLINTON TOWNSHIP, MI 48038 and the phone number is (586) 291-1411.

What is the provider's specialty?

Point of Service with taxonomy code 305S00000X.