Organization
MELVIN K. GROSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEL K GROSS AU. D. (OWNER)
(513) 829-7111
Entity
Organization
Contact information
Practice address
1251 NILLES RD, SUITE #7, FAIRFIELD, OH 45014-7206
(513) 829-7111
Mailing address
1251 NILLES RD, SUITE #7, FAIRFIELD, OH 45014-7206
(513) 829-7111
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665632
—
OH
Enumeration date
12/05/2007
Last updated
11/19/2012
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