Individual provider · Type 1 NPI

Nicole Groux, PA-C

Surgical Physician Assistant · Detroit, MI

NPI number 1053477620 Active

Practice location

2799 W Grand Blvd, Henry Ford Hospital, Neurosurgery, K-11
Detroit, MI 48202-2608

Call (313) 916-1340 Map

Fax (313) 916-8607

Mailing address

527 Fisher Rd
Grosse Pointe Park, MI 48230-1214

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601001213 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1053477620

Nicole Groux, PA-C's National Provider Identifier is 1053477620, issued on Dec 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.