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Individual

DUSTIN GROSSHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2205 VISTA WAY, OCEANSIDE, CA 92054-5661
(760) 704-5870
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 704-5870

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57890
CA
363A00000X
Physician Assistant

Other

Enumeration date
01/16/2020
Last updated
01/08/2024
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