Individual
DR. WAYNE D GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
323 MARION AVE NW, SUITE 200, MASSILLON, OH 44646-3639
(330) 837-1111
(330) 837-1769
Mailing address
323 MARION AVE NW, SUITE 200, MASSILLON, OH 44646-3639
(330) 837-1111
(330) 837-1769
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34005735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925280
—
OH
Enumeration date
07/15/2005
Last updated
06/29/2010
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