| Doctor Name: | DR. ROBERT O. GROSS |
| NPI Number: | 1033200795 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 01767 |
| Business Practice Address: | 800 1st Ave N Suite #1 Clear Lake, IA - 504281725 |
| Business Phone Number: | 6413572141 |
| Business Fax Number: | 6413574315 |
| Mailing Address: | Po Box 145, CLEAR LAKE |
| State: | IA |
| Postal Code: | 504280145 |
| Phone Number: | 6413572141 |
| Fax Number: | 6413574315 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |