Individual
STEVEN JAY GROSSER
Active
Individual
STEVEN JAY GROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40707
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800118
MEDICA CHOICE
MN
01
—
180033693
RAILROAD MEDICARE
MN
01
—
28B11GR
BCBS OF MN
MN
05
—
306522700
—
MN
Enumeration date
06/27/2005
Last updated
04/23/2013
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