Individual
GARY M GROSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 BUTTERFIELD RD, SUITE 220, DOWNERS GROVE, IL 60515-7915
(630) 725-2700
(877) 216-8578
Mailing address
2055 CROCKER RD, SUITE 207, WESTLAKE, OH 44145-1964
(440) 835-5555
(440) 835-5557
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35062416
OH
208600000X
Surgery Physician
Primary
35062416
OH
2086S0129X
Vascular Surgery Physician
35062416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017945
—
OH
Enumeration date
05/24/2006
Last updated
07/12/2011
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