Individual
MICHAEL EMANUEL GRILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2281 HAYES AVE, FREMONT, OH 43420-2632
(419) 355-8488
(419) 355-8890
Mailing address
220 COUNTY ROAD 398, FREMONT, OH 43420-9253
(419) 334-4383
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
08/29/2006
Last updated
07/28/2016
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