Gerald G Gross
Hematology & Oncology
801 Broadway N
Fargo
, North Dakota 58102-3641
Gerald G Gross
Hematology & Oncology
801 Broadway N
Fargo
, North Dakota 58102-3641
(701) 234-3861
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Gerald G Gross
- 820 4th St N
- Fargo, ND
- Zip : 58122-0001
- Fax : (701) 234-3861
- Phone : (701) 234-6161
Second Address
- Gerald G Gross
- 801 Broadway N
- Fargo, ND
- Zip : 58102-3641
- Fax : (701) 234-6979
- Phone : (701) 234-4811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 6921 | ND |
National Provider Identifier
| NPI | 1013935667 |
|---|---|
| Provider Name | Gerald G Gross |
| First Address | Fargo, ND 58122-0001 |
| Second Address | Fargo, ND 58102-3641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 14/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 16332 | (05) | ND |
| 18080 | (05) | ND |
| F76958 | (02) |
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.