Individual
MITCHELL STUART GROBMAN
Active
Individual
MITCHELL STUART GROBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-084209
IL
2084N0400X
Neurology Physician
Primary
25MA12088100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084209
—
IL
Enumeration date
06/14/2006
Last updated
07/11/2024
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