Individual
DR. KATE LAUREN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1705 EAST BROADWAY, SUITE 280, COLUMBIA, MO 65201-5844
(573) 815-7118
(573) 815-7116
Mailing address
1705 EAST BROADWAY, SUITE 280, COLUMBIA, MO 65201-5844
(573) 815-7118
(573) 815-7116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052956
IL
207R00000X
Internal Medicine Physician
2015010967
MO
207RP1001X
Pulmonary Disease Physician
Primary
2015010967
MO
208000000X
Pediatrics Physician
125052956
IL
Other
Enumeration date
07/01/2008
Last updated
11/14/2018
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