# DR. MICHAEL SAMUEL GROSSMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215016662
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036128242 | IL | Yes |
| 207W00000X | Ophthalmology Physician | 202629 | LA | — |
| 208600000X | Surgery Physician | 29207 | SC | — |
| 208D00000X | General Practice Physician | 036128242 | IL | — |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 06/06/2023