Individual
DUSTIN SHAHAB GRIESEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
780 BOYLSTON ST APT 19B, BOSTON, MA 02199-7817
(469) 363-8119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
295352
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
03/19/2024
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