Individual
DR. MICHAEL DAVID GROSS
Active
Individual
DR. MICHAEL DAVID GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036 078620
IL
207Q00000X
Family Medicine Physician
036 078620
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036078620
IL
2083X0100X
Occupational Medicine Physician
036 078620
IL
209800000X
Legal Medicine (M.D./D.O.) Physician
036 078620
IL
Other
Enumeration date
08/31/2006
Last updated
10/22/2014
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