Gross, Gerald G

Gross, Gerald G is an individual health care provider with primary practice located at 820 4Th St N , Fargo ND 58102-4539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gross, Gerald G can be contacted via phone (701) 234-6161.

Contact Information

Primary practice address
820 4Th St N Fargo ND 58102-4539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 6921 North Dakota

Profile Details

NPI number 1013935667
LBN Legal business name Gross, Gerald G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013935667 NPPES
North Dakota MEDICAID 18080
North Dakota MEDICAID 16332

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