DR. Michael Samuel Grossman, M.D.

NPI #1215016662 in Peoria, Illinois

Provider Information

NPI Number: 1215016662
Entity Type: Individual
Name: DR. Michael Samuel Grossman, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Nov 6, 2006
Last Updated: Jun 6, 2023

Practice Location

Address: 4505 N ROCKWOOD DR
City: Peoria
State: Illinois
ZIP Code: 61615-3803
Phone: (309) 589-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Ophthalmology	207W00000X
General Practice	208D00000X

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