Brent A Grishkin MD

NPI 1003809617 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1003809617
Gender Male
Enumeration Date 08/30/2005
Last Updated 08/10/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
9330 PARK WEST BLVD
SUITE 108
KNOXVILLE TN, 37923-4308, US
Phone (865) 769-8635
Fax (865) 769-8631
Business Location
9330 PARK WEST BLVD
SUITE 108
KNOXVILLE TN, 37923-4308, US
Phone (865) 769-8635
Fax (865) 769-8631
Toxanomy
Taxonomy Code 208G00000X
License State Tennessee
License Number 27702
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According to our database, Brent A Grishkin MD NPI is 1003809617, taxonomy code is 208G00000X and license number is 27702, license state is located at Tennessee. Brent A Grishkin MD physically located at 9330 Park West Blvd, Knoxville TN, 37923-4308. NPI Number Brent A Grishkin MD has the Individual type.

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1003809617 NPI number is provided on an as is basis without warranty of any kind. 1003809617 is maintained by the National Plan & Provider Enumeration System. The contents of Brent A Grishkin MD are for informational purposes only.