Individual
MR. ROBERT L GROSSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 E 30TH, BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH, BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
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
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