GEORGE T GROSSBERG

SAINT LOUIS, MO
NPI1033135991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO  R6957)
Additional Taxonomies2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
(Licence: MO  R6957)
Enumeration Date2006-07-14
Last Update Date2021-01-12
Business Address
GEORGE T GROSSBERG MD
1438 S GRAND BLVD
SAINT LOUIS, MO 63104-1027
Phone number: 314-977-4829
Mailing Address
GEORGE T GROSSBERG MD
1438 S GRAND BLVD PROVIDER ENROLLMENT
SAINT LOUIS, MO 63104-1027
Phone number: 314-977-4825