Individual
DOUGLAS B GRISIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
537 W 18TH ST, ERIE, PA 16502-1722
(814) 456-1009
(814) 454-6051
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006272L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011212160002
—
PA
Enumeration date
04/21/2006
Last updated
12/05/2023
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