Individual
AUDRA ISAAC GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2405 HARRODSBURG RD, LEXINGTON, KY 40504-3329
(859) 278-9492
(859) 469-5461
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
50614
KY
Other
Enumeration date
04/09/2014
Last updated
07/02/2025
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