Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 34004051 | OH |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101008010 | MI |
NPI | 1881693034 |
---|---|
Provider Name | Mark E. Grosinger |
First Address | Cincinnati, OH 45242-7789 |
Second Address | Cincinnati, OH 45242-7789 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 06/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0626193 | (05) | OH |
A16478 | (02) | OH |