MICHAEL SAMUEL GROSSMAN

PEORIA, IL
NPI1215016662
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: IL  036128242)
Additional Taxonomies208600000X Surgery
(Licence: SC  29207)
207W00000X Ophthalmology
(Licence: LA  202629)
208D00000X General Practice
(Licence: IL  036128242)
Enumeration Date2006-11-06
Last Update Date2023-06-06
Business Address
Dr. MICHAEL SAMUEL GROSSMAN M.D.
4505 N ROCKWOOD DR
PEORIA, IL 61615-3803
Phone number: 309-589-1880
Mailing Address
Dr. MICHAEL SAMUEL GROSSMAN M.D.
3602 MARQUETTE RD
PERU, IL 61354-1450
Phone number: 815-223-7400