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Contact Information

DAVID G GROSS, DO
303 W 89TH AVE
SUITE E4
MERRILLVILLE, IN46410-6294
 Phone: 219-769-8989
 Fax: 219-756-6389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for DAVID G GROSS · (Male)

NPI # 1346373313
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/13/2007
Last updated 03/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001570A
  • IN Medicaid 100475590
  • IN Other 000000092837 ANTHEM
Hospital affiliation(s)
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
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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