Organization
MICHAEL E GRILLIS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E GRILLIS DO (OWNER)
(419) 355-8488
Entity
Organization
Contact information
Practice address
2281 HAYES AVE, FREMONT, OH 43420-2632
(419) 355-8488
(419) 355-8490
Mailing address
2281 HAYES AVE, FREMONT, OH 43420-2632
(419) 355-8488
(419) 355-8490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34004664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739964
—
OH
Enumeration date
07/27/2010
Last updated
07/27/2010
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