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Contact Information

KENDALL A GROSE, DO
2333 BIDDLE AVE
WYANDOTTE, MI48192-4668
 Phone: 734-246-8004
 Fax: 734-287-9129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KENDALL A GROSE · (Male)

NPI Number 1245406776
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/05/2008
Last updated 06/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 38 2791823
  • UT License # 8637408-1204
Hospital affiliation(s)
  • JORDAN VALLEY MEDICAL CENTER - (Acute Care)
    3580 WEST 9000 SOUTH
    WEST JORDAN, UT 84088
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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