Individual
DR. MICHAEL GRISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-4333
(626) 919-8503
Mailing address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-4333
(626) 919-8503
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
AG4250457
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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