Individual
BRIAN GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 4TH ST SW STE 340, MASON CITY, IA 50401-2856
(641) 428-7766
(641) 428-7788
Mailing address
600 1ST ST NW STE 101, MASON CITY, IA 50401-2932
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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