Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK HENRY GROSSERODE, MD
ActiveDR. MARK HENRY GROSSERODE, MD is a Infectious Disease healthcare provider located in TUSLA, Oklahoma. NPI 1841277290 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · TUSLA, OK
Registration Details
- NPI Number
- 1841277290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2005 (20.638046221854 yrs)
- Last Updated
- Jul 8, 2007
- License
-
18167 (OK)
Practice Information
- Address
-
6565 S YALE AVESTE 812TUSLA, OK, 741368354Browse OK providers · Browse ZIP 74136
- Phone
- 9184949486
- Fax
- 9184949480
- Primary Specialty
-
Infectious Disease
207RI0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.