DR. DOMENIC G GROSSO D.O.
NPI 1588314710
Student in an Organized Health Care Education/Training Program in Saint Clair Shores, MI
About Dr. Domenic G Grosso D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOMENIC G GROSSO D.O. (NPI 1588314710) is an individual student in an organized health care education/training program in Saint Clair Shores, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Domenic G Grosso D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
ST CLAIR SHORES, MI 48080
ST CLAIR SHORES, MI 48080
ST CLAIR SHORES, MI 48080
ST CLAIR SHORES, MI 48080
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588314710, enumerated as an "individual" on March 29, 2022.
The provider is located at 24211 LITTLE MACK AVE SAINT CLAIR SHORES, MI 48080 and the phone number is (586) 498-0440.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.