Individual
CLEMENS MARTIN GROSSKINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
320 LENNON LN, LASSEN BUILDING, 2ND FLOOR, SUITE 5B, WALNUT CREEK, CA 94598-2419
(925) 906-2329
(925) 906-4870
Mailing address
54 SAN GREGORIO CT, DANVILLE, CA 94526-1544
(614) 266-9355
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
35066572G
OH
207VE0102X
Reproductive Endocrinology Physician
Primary
G87868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264235
—
OH
Enumeration date
10/20/2005
Last updated
12/14/2021
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