Organization
ALFRED GRANSON JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED EUGENE GRETZINGER MD (DOCTOR)
(419) 589-9700
Entity
Organization
Contact information
Practice address
70 MADISON RD, MANSFIELD, OH 44905-2831
(419) 589-9700
(419) 589-2731
Mailing address
70 MADISON RD, MANSFIELD, OH 44905-2831
(419) 589-9700
(419) 589-2731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136683
—
OH
Enumeration date
03/04/2010
Last updated
03/04/2010
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