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Individual

SHELLY M GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
3831 LOCKPORT ST STE C, BISMARCK, ND 58503-5539
(701) 751-2500
(701) 751-0231
Mailing address
3831 LOCKPORT ST STE C, BISMARCK, ND 58503-5539
(701) 751-2500
(701) 751-0231

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
570
ND
237700000X
Hearing Instrument Specialist
H-0217
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52523
ND
Enumeration date
06/12/2006
Last updated
09/01/2023
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