Individual
CHARLES F GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2270
(319) 356-4855
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2270
(319) 356-4855
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
24603
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222372
—
IA
01
—
22237
WELLMARK BCBS
IA
Enumeration date
09/23/2005
Last updated
01/26/2010
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