Most Relevant Information
Provider Data
| NPI Number: | 1003505595 |
| Provider Name: | BRIAN GROSE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2023 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
1010 4TH ST SW STE 340
MASON CITY
IA
504012856
Practice Location Phone/Fax
| Phone: | 6414287766 |
| Fax: | 6414287788 |
Provider Mailing Location
600 1ST ST NW STE 101
MASON CITY
IA
504012932
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |