Individual
ALEXANDRA GROB
Active
Individual
ALEXANDRA GROB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MB09882600
NJ
207N00000X
Dermatology Physician
5101020085
MI
207N00000X
Dermatology Physician
Primary
OS17608
FL
390200000X
Student in an Organized Health Care Education/Training Program
5101020085
MI
Other
Enumeration date
06/18/2012
Last updated
12/26/2024
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