Individual provider · Type 1 NPI

Jessica Gross, PA-C

Medical Physician Assistant · West Bloomfield, MI

NPI number 1871109256 Active

Practice location

6089 W Maple Rd Ste 200
West Bloomfield, MI 48322-2286

Call (248) 851-1600 Map

Fax (248) 851-0421

Mailing address

3758 Griffith Ave Apt Suite
Berkley, MI 48072-1439

Other practice locations

  • 6089 W Maple Rd Ste 200, West Bloomfield, MI 48322-2286 · (248) 851-1600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601010866 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1871109256

Jessica Gross, PA-C's National Provider Identifier is 1871109256, issued on Sep 21, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Bloomfield, MI. The record was last updated on Dec 17, 2022.