Individual
DR. RICHARD GEORGE GRASSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2408 WALDEN WOODS CT, MAHOMET, IL 61853-7412
(217) 586-1859
Mailing address
2408 WALDEN WOODS CT, MAHOMET, IL 61853-7412
(217) 586-1859
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16546-020
WI
208000000X
Pediatrics Physician
5253
ND
Other
Enumeration date
01/02/2007
Last updated
12/19/2012
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