Individual
ANDREW JOHN GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21145 BANK MILL RD, SARATOGA, CA 95070-5706
(408) 823-2476
Mailing address
21145 BANK MILL RD, SARATOGA, CA 95070-5706
(408) 823-2476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G17977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G179770
—
CA
Enumeration date
08/30/2006
Last updated
09/14/2021
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