Individual
DANIEL ROBERT GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7625 W 92ND AVE, WESTMINSTER, CO 80021-4567
(303) 254-7464
(303) 252-9875
Mailing address
7625 W 92ND AVE, WESTMINSTER, CO 80021-4567
(303) 254-7464
(303) 252-9875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27879
CO
207Q00000X
Family Medicine Physician
41579
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16475721
—
CO
01
—
41579
LICENSE
WI
01
—
513142
MEDICARE GROUP NUMBER
CO
Enumeration date
12/05/2005
Last updated
08/24/2016
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