Individual
MICHAEL JOHN GRILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 SEYMOUR ST STE 201, HARTFORD, CT 06106-5521
(860) 282-4128
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-4128
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56807
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
56807
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
56807
CT
Other
Enumeration date
05/07/2012
Last updated
08/27/2025
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