| Doctor Name: | GARY M GROSEL |
| NPI Number: | 1043265382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35062416 |
| Business Practice Address: | 1901 Butterfield Rd Suite 220 Downers Grove, IL - 605157915 |
| Business Phone Number: | 6307252700 |
| Business Fax Number: | 8772168578 |
| Mailing Address: | 2055 Crocker Rd, Suite 207 WESTLAKE |
| State: | OH |
| Postal Code: | 441451964 |
| Phone Number: | 4408355555 |
| Fax Number: | 4408355557 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 35062416 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |