Michael J Grosserode MD

NPI No. 1710982848 - Internal Medicine

 

Contacts & Locations

Practice Address

  • 301 Med Tech Pkwy
    Ste 280
    Johnson City, Tennessee 37604, US
  • Phone: (423) 794-5550
  • Fax: (423) 928-0394

Office Address

  • 301 Med Tech Pkwy
    Ste 280
    Johnson City, Tennessee 37604, US
  • Phone: (423) 794-5550
  • Fax: (423) 928-0394

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Michael J Grosserode Information

The 1710982848 NPI number belongs to Michael J Grosserode MD. Michael J Grosserode is an Individual and working at 301 Med Tech Pkwy, Johnson City TN 37604, you can also contact him via phone number (423) 794-5550. Michael J Grosserode's specialty is listed as Internal Medicine.

About NPI No.

  • NPI Number: 1710982848 (Individual)
  • Name: Michael J Grosserode
  • Credential: M.D.
  • Pecos: 6204967078
  • Enrollment: I20100623000861
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 207R00000X
  • Taxonomy specialization: Internal Medicine
  • Primary taxonomy: Yes
  • License

  • License number: 26879
  • License state: Tennessee State License
  • Enumeration date: June 16, 2005
  • Last Update date: November 12, 2017

Michael J Grosserode is not a Sole Proprietor.

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