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NPI Code Detail

MEDICARE: MARK E. GROSINGER DO

MEDICARE:   MARK E. GROSINGER  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician34004051OH
2207YX0905XOtolaryngology/Facial Plastic Surgery Physician5101008010MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881693034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK E. GROSINGER DO
Provider Business Mailing Address
First Line : 9200 MONTGOMERY RD
Second Line : #2B
City : CINCINNATI
State : OH
Zip : 45242-7789
Country : US
Telephone Number : 513-891-8700
Fax Number : 513-891-8703
Provider Business Practice Location Address
First Line : 9200 MONTGOMERY RD
Second Line : SUITE 2B
City : CINCINNATI
State : OH
Zip : 45242-7789
Country : US
Telephone Number : 513-891-8700
Fax Number : 513-891-8703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 01/06/2010

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Directions to “ MARK E. GROSINGER DO” Practice Location

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