Individual provider · NPI-1

Clemens Martin Grosskinsky, PhD, MD

Obstetrics & Gynecology, Reproductive Endocrinology · Walnut Creek, CA

NPI number1235128315
StatusActive
Last updated in NPPESDec 14, 2021

Details

NPI
1235128315
Entity type
Individual (NPI-1)
Name
Clemens Martin Grosskinsky
Credential
PhD, MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2005
Last updated
Dec 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VE0102X Obstetrics & Gynecology, Reproductive EndocrinologyG87868CAYes
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology35066572gOH

Practice location

320 Lennon Ln
Lassen Building, 2nd Floor, Suite 5b
Walnut Creek, CA 94598-2419

Phone 925-906-2329 · Fax 925-906-4870

Mailing address

54 San Gregorio Ct
Danville, CA 94526-1544

Phone 614-266-9355

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