National Provider Identifier Database

MARK L GROSSETETE, M.D., PH.D. – NPI #1447592498
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

MARK L GROSSETETE, M.D., PH.D.
117 CAMINO DE VIDA STE 300
SANTA ROSA, NM88435
Phone: 575-472-4311
Fax: 575-472-4313
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Addiction Medicine 207LA0401X
Anesthesiology 207L00000X
Internal Medicine 207R00000X
Pain Medicine 208VP0000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MARK L GROSSETETE

NPI Number 1447592498
Credentials M.D., PH.D.
Entity Individual
Enumeration date 03/17/2013
Last updated 01/08/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NM License #: MD2017-0779
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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