NPI 1033200795

Robert O. Gross, DO

Practitioner General Practice Physician Clear Lake, IA

Practice location

Address: 800 1st Ave N Suite #1, Clear Lake, IA 50428-1725
Phone: (641) 357-2141
Fax: (641) 357-4315
Mailing address: PO Box 145, Clear Lake, IA 50428-0145

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01767 (IA)

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Registry record

NPI: 1033200795
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.