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Dr. Justin Allan Gross, MD
Diagnostic Radiology Physician in Roseville, Minnesota
NPI 1558676817

Justin Allan Gross is a Diagnostic Radiology Physician based in Roseville, MN and is specialized in Diagnostic Radiology. Justin Allan Gross practices in Roseville, MN and has the professional credentials of MD. The NPI Number for Justin Allan Gross is 1558676817 and holds a License No. (Minnesota).

The current practice location address for Justin Allan Gross is 2355 Highway 36 W Ste 100, Roseville, MN and can be reached out via phone at 651-292-0000.

Location: 2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558676817
Provider Name
Justin Allan Gross
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Phone Number
651-292-0000
Fax Number
Provider Enumeration Date
08/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2355 Highway 36 W Ste 100
City
Roseville
State
Minnesota
Zip
55113-3905
Phone Number
651-292-0000
Fax Number
person
Provider Business Mailing Address Details
Address
2355 Highway 36 W Ste 100
City
Roseville
State
Minnesota
Zip
55113-3905
Phone Number
651-292-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
63687 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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