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General NPI Number Information
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NPI Number | 1851367601
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Entity Type | Individual
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Provider Name | ERIK MICHAEL GROSSMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | ONE HOSPITAL DR
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City | COLUMBIA
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State | MO
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Zip | 65212-0001
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Country | US
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Telephone | 573-882-2100
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Fax | 573-882-6054
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Provider Business Mailing Address
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Address Line | 3220 BLUFF CREEK DR SUITE 100
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City | COLUMBIA
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State | MO
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Zip | 65201-3663
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Country | US
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Telephone | 573-443-8773
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Fax | 573-443-6843
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 110753
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 110753
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License Number State | MO
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