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Individual
BRIAN CHRISTOPHER GROSS
Active
Individual
BRIAN CHRISTOPHER GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101256274
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831327089
—
VA
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
01
—
P01070845
RAILROAD MEDICARE
MN
Enumeration date
06/26/2009
Last updated
01/14/2022
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