Individual
DR. DANIEL JOSEPH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 MAIN ST, STEVENSVILLE, MT 59870-2846
(406) 777-5522
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 777-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351048671
MI
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-143848
MT
Other
Enumeration date
06/29/2021
Last updated
08/12/2024
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