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Individual

DR. MICHAEL H GROUSD

Active
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Individual

DR. MICHAEL H GROUSD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DO7926
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80022385
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/28/2008
Last updated
01/14/2019
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