Individual
THOMAS LEHMAN GRITZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 SE LAKE RD, SUITE 6, MILWAUKIE, OR 97222-7759
(503) 659-6611
Mailing address
2100 SE LAKE RD, SUITE 6, MILWAUKIE, OR 97222-7759
(503) 659-6611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD08117
OR
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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