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Individual

MR. ROBERT L GROSSHEIM

Active
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Individual

MR. ROBERT L GROSSHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
73128
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM001137
BCBS
NM
05
11395
NM
01
200013227
RAILROAD MEDICARE
01
73128
NEW MEXICO MEDICAL LICENS
NM
Enumeration date
08/29/2005
Last updated
07/13/2010
Update your record

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