Organization
THOMAS M GRISCHOW OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL GRISCHOW O.D. (OWNER/PRESIDENT)
(330) 792-0820
Entity
Organization
Contact information
Practice address
6000 MAHONING AVE, STE 200, AUSTINTOWN, OH 44515-2225
(330) 792-0820
(330) 792-0843
Mailing address
6000 MAHONING AVE, STE 200, AUSTINTOWN, OH 44515-2225
(330) 792-0820
(330) 792-0843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4457
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0958281
—
OH
Enumeration date
12/13/2007
Last updated
12/17/2007
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