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Individual

ALAN B GROSBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 SW ARCHER RD, HEMATOLOGY/ONCOLOGY (111), GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 271-4575
Mailing address
1600 SW ARCHER RD, DEPT OF MEDICINE, DIVISION OF HEMATOLOGY/ONCOLOGY, GAINESVILLE, FL 32610-3003
(352) 273-7835
(352) 271-4675

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME103867
FL
207RX0202X
Medical Oncology Physician
04462R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942871
LA
Enumeration date
07/12/2005
Last updated
11/10/2009
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