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Individual

DR. THOMAS MICHAEL GRISCHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4060 N RIVER RD NE, WARREN, OH 44484-1039
(330) 746-7691
Mailing address
10 DUTTON DR, SUITE 200, YOUNGSTOWN, OH 44502-1818
(330) 746-7691
(330) 743-8368

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT004457
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0958281
OH
Enumeration date
07/07/2006
Last updated
01/14/2025
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