Individual
MARIA L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7206 MARKET ST, SUITE A, YOUNGSTOWN, OH 44512-4507
(330) 726-3379
(330) 726-8683
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6622
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-078917
OH
208M00000X
Hospitalist Physician
35-078917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532492
ANTHEM
OH
05
—
2463169
—
OH
Enumeration date
05/16/2006
Last updated
07/08/2011
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