Individual
JOHN MATTHEW GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205
(614) 722-4411
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4411
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35.142352
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312077
—
OH
01
—
H0025540
CGS
OH
Enumeration date
04/04/2018
Last updated
05/13/2026
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