Individual
DR. MICHAEL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 E VAN BUREN ST, BUILDING 3, ROOM 3261, PHOENIX, AZ 85004-2230
(602) 631-6551
Mailing address
550 E VAN BUREN ST, BUILDING 3, ROOM 3261, PHOENIX, AZ 85004-2230
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12579
AZ
207RC0000X
Cardiovascular Disease Physician
G-13749
CA
Other
Enumeration date
08/24/2006
Last updated
07/24/2007
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