Individual
JEFFREY WAYNE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2031 E MOUNTAIN VISTA DR, COEUR D ALENE, ID 83815-9683
(208) 570-3342
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(855) 687-7237
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-10276
ID
Other
Enumeration date
01/30/2007
Last updated
07/06/2023
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