Individual
PHILLIP MICHAEL GROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
339 COLLEGE AVE, SANTA ROSA, CA 95401-5117
(707) 573-0223
(707) 573-0222
Mailing address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
G85079
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2014
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