Organization
SHELDON L GROSSMAN DPMPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON LEE GROSSMAN DPMPC (PRESIDENT)
(816) 942-1795
Entity
Organization
Contact information
Practice address
400 E RED BRIDGE RD, KANSAS CITY, MO 64131-4035
(816) 942-1795
(816) 942-0782
Mailing address
400 E RED BRIDGE RD, 314, KANSAS CITY, MO 64131-4031
(816) 942-1795
(816) 942-0782
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000365
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00741012
BLULE CROSS BLUE SHIELD
MO
01
—
1821098427
NPI-INDIVIDUAL
MO
Enumeration date
01/03/2008
Last updated
05/08/2008
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