Dr. Robert O. Gross
General Practice Physician
800 1st Ave N Suite #1
Clear Lake
, Iowa 50428-1725
Dr. Robert O. Gross
General Practice Physician
800 1st Ave N Suite #1
Clear Lake
, Iowa 50428-1725
(641) 357-4315
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Robert O. Gross
- Po Box 145
- Clear Lake, IA
- Zip : 50428-0145
- Fax : (641) 357-4315
- Phone : (641) 357-2141
Second Address
- Dr. Robert O. Gross
- 800 1st Ave N Suite #1
- Clear Lake, IA
- Zip : 50428-1725
- Fax : (641) 357-4315
- Phone : (641) 357-2141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 01767 | IA |
National Provider Identifier
| NPI | 1033200795 |
|---|---|
| Provider Name | Dr. Robert O. Gross |
| First Address | Clear Lake, IA 50428-0145 |
| Second Address | Clear Lake, IA 50428-1725 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 16725 | WELLMARK (01) | IA |
| A01522 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.