Individual
DR. VICTORIA GRYSZOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9147
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069210
IN
207L00000X
Anesthesiology Physician
2008013841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992971006
NPI
—
Enumeration date
05/08/2008
Last updated
05/20/2011
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