Individual
KATHERINE JANE GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-093041
OH
208000000X
Pediatrics Physician
57.011498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3054957
—
OH
Enumeration date
05/07/2007
Last updated
08/25/2010
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