Individual
DAVID G. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
303 W 89TH AVE, SUITE E4, MERRILLVILLE, IN 46410-6294
(219) 769-8989
(219) 756-6389
Mailing address
303 W 89TH AVE, SUITE E4, MERRILLVILLE, IN 46410-6294
(219) 769-8989
(219) 756-6389
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02001570A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092837
ANTHEM
IN
05
—
100475590
—
IN
Enumeration date
03/13/2007
Last updated
03/04/2021
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