Individual
DR. PETER ROSS GRINKEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3640 HIGH ST STE 1D, PORTSMOUTH, VA 23707-3213
(757) 393-1074
(757) 397-3412
Mailing address
2957 BRUCE STA, CHESAPEAKE, VA 23321-4258
(757) 483-0969
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009303405
—
VA
Enumeration date
09/30/2006
Last updated
07/15/2008
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