Individual
ROBERT T GROSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2009
(651) 292-2144
Mailing address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2009
(651) 292-2144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036090913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360909133
—
IL
Enumeration date
07/17/2006
Last updated
03/25/2009
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