Individual
JONATHAN W GRYMALOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6884 HANNEGAN RD, EVERSON, WA 98247-9637
(360) 354-0766
(360) 357-7667
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 767-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60051086
WA
207V00000X
Obstetrics & Gynecology Physician
MD60051086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058414200
—
MN
Enumeration date
06/30/2005
Last updated
05/30/2024
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