Individual
ROBERT BRIAN GROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MORVEN RD, WADESBORO, NC 28170-2745
(800) 893-9698
Mailing address
4228 WALLBROOK DR, MATTHEWS, NC 28105-8700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9801291
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131HR
—
NC
Enumeration date
04/07/2006
Last updated
07/08/2007
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