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Individual

DR. DANIEL KENNETH GROB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1140 PERRY HWY, PITTSBURGH, PA 15237-2160
(412) 364-4402
(412) 364-3850
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(412) 369-9550
(412) 369-9566

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD062997L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001729440-0004
PA
05
001729440-0005
PA
Enumeration date
02/13/2006
Last updated
02/09/2023
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