Individual
LAURA ALAN GROSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 551-4579
Mailing address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29260
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2007
Last updated
05/18/2011
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