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Individual
DR. DHIMITRI ELICIA GROSS
Active
Individual
DR. DHIMITRI ELICIA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101222399
VA
207Q00000X
Family Medicine Physician
13585-320
WI
207Q00000X
Family Medicine Physician
C4011
KY
207Q00000X
Family Medicine Physician
Primary
D0055146
MD
207Q00000X
Family Medicine Physician
MD490238C
PA
Other
Enumeration date
06/06/2006
Last updated
12/19/2025
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