Individual
DAVID A GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32273
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063803000
—
MN
01
—
1017995
PREFERRED ONE
MN
01
—
105624
UCARE
MN
05
—
1927343
—
IA
01
—
300112531
RAILROAD MEDICARE MN
MN
05
—
31821600
—
WI
01
—
596678
AMERICA'S PPO
MN
01
—
85D32GR
BLUE CROSS
MN
01
—
96D77GR
BLUE CROSS BLUE SHIELD
MN
01
—
HP44291
HEALTHPARTNERS
MN
Enumeration date
05/26/2006
Last updated
07/06/2022
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