Grossetete, Mark Land

Grossetete, Mark Land is an individual health care provider with primary practice located at 117 Camino De Vida Ste 300 , Santa Rosa NM 88435. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Grossetete, Mark Land can be contacted via phone (575) 472-4311.

Contact Information

Primary practice address
117 Camino De Vida Ste 300 Santa Rosa NM 88435
Phone: (575) 472-4311
Fax: (575) 472-4313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD2017-0779 New Mexico
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X MD2017-0779 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2017-0779 New Mexico
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD2017-0779 New Mexico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New Mexico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD2017-0779 New Mexico

Profile Details

NPI number 1447592498
LBN Legal business name Grossetete, Mark Land
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2013
Last updated Jan 8th, 2024 - about 8 months 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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