Individual
NATHAN GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 PARK FOREST DR STE 210, TRAVERSE CITY, MI 49684-7306
(231) 935-5770
Mailing address
2630 ELM HILL PIKE STE 350, NASHVILLE, TN 37214-3176
(615) 327-4304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704315731
MI
Other
Enumeration date
12/07/2020
Last updated
06/14/2021
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