Individual
VLADISLAV G GROYSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
1515 TACOMA AVE S APT 221, TACOMA, WA 98402-1823
(646) 322-0494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OL61443656
WA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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