Individual
DR. STEPHANIE DIANE GROSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 PROVIDENCE PARK DR E, MOBILE, AL 36695-4616
(251) 634-1544
(251) 634-0235
Mailing address
600 PROVIDENCE PARK DR E, MOBILE, AL 36695-4616
(251) 634-1544
(251) 634-0235
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
00020899
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
00020899
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032570
—
AL
05
—
0118171
—
MS
01
—
510-32570
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/27/2006
Last updated
02/23/2012
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