Individual
DR. JANET WISNIEWSKI GRISSOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 539-7000
(801) 539-7050
Mailing address
2740 COMANCHE DR, SALT LAKE CITY, UT 84108-2811
(801) 539-7000
(801) 539-7050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3761031205
UT
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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