Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BARRY J GROSS, D.O.
Active Sole ProprietorBARRY J GROSS, D.O. is a Family Medicine healthcare provider located in FAIR HAVEN, Michigan. NPI 1811952294 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FAIR HAVEN, MI
Registration Details
- NPI Number
- 1811952294
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2006 (20.134058480348 yrs)
- Last Updated
- Feb 16, 2022
- Licenses
-
5101007067 (MI)5101007067 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9838 DIXIE HWYFAIR HAVEN, MI, 480232813Browse MI providers · Browse ZIP 48023
- Phone
- 5867259611
- Fax
- 5867252630
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.