Individual
ANTHONY MICHAEL GRILLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 228-3335
Mailing address
1825 BARNHART RD, TROY, OH 45373-9589
(937) 552-9420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.345017
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019559
OH
Other
Enumeration date
08/24/2017
Last updated
03/05/2018
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