Individual
DR. ROBERT O. GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 1ST AVE N, SUITE #1, CLEAR LAKE, IA 50428-1725
(641) 357-2141
(641) 357-4315
Mailing address
PO BOX 145, CLEAR LAKE, IA 50428-0145
(641) 357-2141
(641) 357-4315
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01767
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16725
WELLMARK
IA
Enumeration date
09/27/2006
Last updated
07/08/2007
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