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Individual
DR. SHELDON L. GROSSMAN
Active
Individual
DR. SHELDON L. GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000365
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
12-00116
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00741012
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/26/2005
Last updated
12/07/2007
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