Individual
DR. MARVIN N GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1266 S MAIN ST, NORTH CANTON, OH 44720-4271
(330) 494-2700
(330) 494-6898
Mailing address
1266 S MAIN ST, NORTH CANTON, OH 44720-4271
(330) 494-2700
(330) 494-6898
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36001528
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162005
—
OH
01
—
4389870001
ADMINISTAR DMERC B
OH
Enumeration date
12/10/2005
Last updated
03/04/2008
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