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Organization

THOMAS M GRISCHOW OD INC

Active
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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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