Robert O. Gross in Clear Lake - General Practice

Robert O. Gross - NPI 1033200795

Robert O. Gross is a General Practice in Clear Lake, Iowa. Robert O. Gross practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert O. Gross is 1033200795. The last update date is 2007-07-08.

Robert O. Gross's current location address is Po Box 145, Clear Lake, Iowa. You can contact this provider via phone number 6413572141 and fax number 6413574315. The mailing address for Robert O. Gross is Po Box 145, Clear Lake, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert O. Gross
Address Po Box 145, Clear Lake, Iowa
Phone Number 6413572141
Fax Number 6413574315
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1033200795
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 145
City Clear Lake
State Iowa (IA)
Post Code 504280145
Phone Number 6413572141
Fax Number 6413574315

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 1767
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16725 IA WELLMARK

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FAQs about Robert O. Gross

What is the unique identifier code issued to Robert O. Gross by the Centers for Medicare & Medicaid Services (CMS)?

The Robert O. Gross has been assigned the NPI (National Provider Identifier) 1033200795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Robert O. Gross's physical address?

The Robert O. Gross is physically located at Po Box 145, in the city of Clear Lake, IA, with the postal code 504280145.

What is the Robert O. Gross's specialty and taxonomy code?

The Robert O. Gross's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033200795 to Robert O. Gross?

The Centers for Medicare & Medicaid Services assigned the 1033200795 to Robert O. Gross on 2006-09-27.

As of what date were the details pertaining to Robert O. Gross last refreshed?

The information related to the Robert O. Gross, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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