Individual
PATRICK JACOB GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10401 SAWMILL PKWY, SUITE 20, POWELL, OH 43065-7451
(614) 764-9955
(614) 792-5086
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34010958
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086785
—
OH
Enumeration date
04/03/2009
Last updated
01/05/2022
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