Individual
JEDIDIAH GRISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 322-6953
(940) 264-8536
Mailing address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 322-6953
(940) 264-8536
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
57011497
OH
Other
Enumeration date
05/25/2007
Last updated
02/09/2015
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