Individual
TIMOTHY B GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 E BROADWAY ST, HELENA, MT 59601-4905
(406) 457-4180
Mailing address
PO BOX 6369, HELENA, MT 59604-6369
(406) 447-2823
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9578
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000028322
—
MT
Enumeration date
08/02/2005
Last updated
03/27/2018
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