Individual
MICHAEL DAVID GROSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4000
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SL1203
NV
208D00000X
General Practice Physician
DO2637
NV
Other
Enumeration date
05/19/2017
Last updated
01/09/2020
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