Individual
DR. MARY GRISWOLD BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6803 MAYFIELD RD, #305, MAYFIELD HTS, OH 44124-2271
(440) 312-9000
(440) 312-9001
Mailing address
6803 MAYFIELD RD, #305, MAYFIELD HTS, OH 44124-2271
(440) 312-9000
(440) 312-9001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35054147
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0692497
—
OH
Enumeration date
08/22/2005
Last updated
09/20/2010
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