IndividualActive
Demetria Gross, RN
NPI 1063855112 · Point of Service · Clinton Township, MI
Provider details
- NPI number
- 1063855112
- Entity type
- Individual
- Primary specialty
- Point of ServiceManaged Care Organizations
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704218611 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
41045 Vista Woods Way
Clinton Township, MI 48038-4536
Phone: (586) 291-1411
Approximate (ZIP-level) locationGet directions
Mailing address
41045 Vista Woods Way
Clinton Township, MI 48038-4536
Registry dates
- Enumerated
- 2013-04-09
- Last updated
- 2013-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.