David G Gross Do, Pc

NPI 1073646089 - Optometrist - 152W00000X

NPI Details
NPI 1073646089
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID G DAVID
Position OWNER
Phone (219) 769-8989
Fax (219) 756-6389
Practice Location
303 W 89TH AVE
SUITE E4
MERRILLVILLE IN, 46410-6294, US
Phone (219) 769-8989
Fax (219) 756-6389
Business Location
303 W 89TH AVE
SUITE E4
MERRILLVILLE IN, 46410-6294, US
Phone (219) 769-8989
Fax (219) 756-6389
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, David G Gross Do, Pc NPI is 1073646089, taxonomy code is 152W00000X David G Gross Do, Pc physically located at 303 W 89th Ave, Merrillville IN, 46410-6294. NPI Number 1033115704 has the healthcare provider type.

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1073646089 NPI number is provided on an as is basis without warranty of any kind. 1073646089 is maintained by the National Plan & Provider Enumeration System. The contents of David G Gross Do, Pc are for informational purposes only.