# DANIEL B GROSSMAN M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marciana Group of California
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922739366
- **Authorized official:** DANIEL GROSSMAN MD (OWNER)
- **Authorized official phone:** (217) 390-4068

## Contact information

- **Practice address:** 2050 N TUSTIN ST \# 1009, ORANGE, CA 92865-3902
- **Practice address phone:** (651) 505-6807
- **Mailing address:** 2136 FORD PKWY STE 5000, SAINT PAUL, MN 55116-1863
- **Mailing address phone:** (651) 505-6807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2022
- **Last updated:** 06/17/2022
