Individual
DR. RICHARD GROSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7096 SOUTHWOODS LANE, SOLON, OH 44139-5105
(440) 914-7840
(440) 914-7855
Mailing address
7096 SOUTHWOODS LANE, SOLON, OH 44139-5105
(440) 914-7840
(440) 914-7855
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
35-07-6687-G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143273
—
OH
Enumeration date
12/18/2006
Last updated
07/01/2021
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