Individual provider · Type 1 NPI

Domenic G. Grosso, DO

Student in an Organized Health Care Education/Training Program · St. Clair Shores, MI

NPI number 1588314710 Active

Practice location

24211 Little Mack Ave
St. Clair Shores, MI 48080-1151

Call (586) 498-0440 Map

Fax (586) 498-0401

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1588314710

Domenic G. Grosso, DO's National Provider Identifier is 1588314710, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 31, 2025.