| Doctor Name: | DR. KEVIN MICHAEL GROSZKOWSKI |
| NPI Number: | 1548240716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D0066086 |
| Business Practice Address: | 116 Defense Hwy Suite 400 Annapolis, MD - 214017027 |
| Business Phone Number: | 4108979841 |
| Business Fax Number: | 4108979852 |
| Mailing Address: | 116 Defense Hwy, Suite 400 ANNAPOLIS |
| State: | MD |
| Postal Code: | 214017027 |
| Phone Number: | 4108979841 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2006 |
| NPI Last Update Date: | 12/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0066086 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |