Individual
DR. MARISA E. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 294-8201
(253) 333-3612
Mailing address
4111 194TH ST SW, LYNNWOOD, WA 98036-4604
(425) 835-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301101278
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301101278
MI
Other
Enumeration date
07/03/2012
Last updated
04/16/2025
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