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1083751366
JEFFREY WAYNE GROSSMAN
COEUR D ALENE, ID
NPI
1083751366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M-10276)
Enumeration Date
2007-01-30
Last Update Date
2023-07-06
Business Address
JEFFREY WAYNE GROSSMAN MD
2031 E MOUNTAIN VISTA DR
COEUR D ALENE, ID 83815-9683
Phone number: 208-570-3342
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Mailing Address
JEFFREY WAYNE GROSSMAN MD
22100 BOTHELL EVERETT HWY
BOTHELL, WA 98021-8431
Phone number: 855-687-7237
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