IndividualActive
Mark Grosserode, MD
NPI 1841277290 · Infectious Disease Physician · Tusla, OK
Provider details
- NPI number
- 1841277290
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 18167 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6565 S Yale Ave
Ste 812
Tusla, OK 74136-8354
Phone: (918) 494-9486
Fax: (918) 494-9480
Approximate (ZIP-level) locationGet directions
Mailing address
6565 S Yale Ave
Tusla, OK 74136-8354
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.