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Michael Grossman, M.D

NPI 1215016662 · on the registry since 2006 · sole proprietor

Practice

Address
4505 N Rockwood Dr
Peoria, IL 61615
Phone
(309) 589-1880
Organisation at this address
Ferdinands Wigs Inc
Srinivas Jujjavarapu Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Ophthalmology Physician
207W00000X
Also registered as
Surgery Physician
Ophthalmology Physician
General Practice Physician
Licence states on file
SC, LA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-06
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois