Individual
DR. STAN M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
331 JUNGERMANN RD, SAINT PETERS, MO 63376-5351
(636) 928-5588
(636) 922-0071
Mailing address
331 JUNGERMANN RD, SAINT PETERS, MO 63376-5351
(636) 928-5588
(636) 922-0071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE00005721
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538206081
NPI
MO
01
—
991666007
PTAN
MO
Enumeration date
01/31/2007
Last updated
06/23/2015
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