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Individual

MICHAEL GROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00007925
AL
207R00000X
Internal Medicine Physician
Primary
MD.7925
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000181145E
GA
05
009929055
AL
01
51516975
BC/BS ALABAMA
AL
Enumeration date
07/21/2005
Last updated
03/22/2022
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