Diane Grove, PA

NPI #1639273311 in Harrison, Michigan

Provider Information

NPI Number: 1639273311
Entity Type: Individual
Name: Diane Grove, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 12, 2006
Last Updated: Feb 26, 2009

Practice Location

Address: 815 N CLARE AVE
City: Harrison
State: Michigan
ZIP Code: 48625-9194
Phone: (989) 539-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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