Provider Demographics
NPI:1265220743
Name:GROSSMANN, ANDREW EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:EUGENE
Last Name:GROSSMANN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6436 S HELENA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-8347
Mailing Address - Country:US
Mailing Address - Phone:509-951-6674
Mailing Address - Fax:
Practice Address - Street 1:6436 S HELENA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-8347
Practice Address - Country:US
Practice Address - Phone:509-951-6674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA14393208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice