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Organization

STEPHEN J GRYGIER O.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN J GRYGIER O.D. (OWNER)
(740) 382-2020
Entity
Organization

Contact information

Practice address
367 S MAIN ST, MARION, OH 43302-5005
(740) 382-2020
(740) 382-1941
Mailing address
367 S MAIN ST, MARION, OH 43302-5005
(740) 382-2020
(740) 382-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3517-P509
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0463841
OH
Enumeration date
06/20/2007
Last updated
12/16/2010
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