DR. Michael Jack Grossman, M.D.
NPI #1942367008 in Lake Forest, California
Provider Information
- NPI Number
- 1942367008
- Entity Type
- Individual
- Name
- DR. Michael Jack Grossman, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jan 1, 2007
- Last Updated
- Mar 27, 2008
Practice Location
- Address
- 24432 MUIRLANDS BLVD
- Address 2
- SUITE 111
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-3939
- Phone
- (949) 770-7301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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