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Individual
SUSAN A GROSS
Active
Individual
SUSAN A GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141247
ANTHEM
OH
05
—
0163433
—
OH
01
—
01991
PARAMOUNT
OH
01
—
04-03000
UHC
OH
01
—
0638005
AETNA
OH
01
—
11062
HPM
OH
01
—
29556773-003
MMO
OH
Enumeration date
08/10/2005
Last updated
07/13/2026
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