Individual
DR. MICHAEL R. GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2 BALA PLZ STE PL33, BALA CYNWYD, PA 19004-1501
(610) 645-6314
(610) 645-9923
Mailing address
2 BALA PLZ STE PL33, BALA CYNWYD, PA 19004-1501
(610) 645-6314
(610) 645-9923
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003470R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013601290
—
PA
Enumeration date
11/29/2005
Last updated
02/11/2026
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