Grosz, David E

Grosz, David E is an individual health care provider with primary practice located at 100 4Th St S Ste 612 , Fargo ND 58103-1940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grosz, David E can be contacted via phone (701) 235-0561.

Contact Information

Primary practice address
100 4Th St S Ste 612 Fargo ND 58103-1940
Fax: (701) 235-0330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5058 North Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28931 Minnesota

Profile Details

NPI number 1336237684
LBN Legal business name Grosz, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 24th, 2008 - about 16 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 1336237684 NPPES
Minnesota Other 2M041GR BLUE SHIELD
Minnesota Other 11356 BLUE SHIELD
Minnesota Other 892975 BLUE SHIELD
Minnesota MEDICAID 14616 BLUE SHIELD

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