Grossetete, Mark Land
Grossetete, Mark Land is an individual health care provider with primary practice located at 117 Camino De Vida Ste 300 , Santa Rosa NM 88435. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Grossetete, Mark Land can be contacted via phone (575) 472-4311.Contact Information
Primary practice address
117 Camino De Vida Ste 300
Santa Rosa NM 88435
Phone: (575) 472-4311
Fax: (575) 472-4313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | MD2017-0779 | New Mexico |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD2017-0779 | New Mexico |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD2017-0779 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico | |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD2017-0779 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2017-0779 | New Mexico |
Profile Details
| NPI number | 1447592498 |
|---|---|
| LBN Legal business name | Grossetete, Mark Land |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2013 |
| Last updated | Jun 8th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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