Individual
DR. MAUREEN ELIZABETH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
660 S EUCLID AVE, C B 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9123
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20144037732
MO
208100000X
Physical Medicine & Rehabilitation Physician
20144037732
MO
Other
Enumeration date
06/28/2011
Last updated
12/09/2015
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