Blank, Mary Griswold
Blank, Mary Griswold is an individual health care provider with primary practice located at 6803 Mayfield Rd #305, Mayfield Hts OH 44124-2271. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blank, Mary Griswold can be contacted via phone (440) 312-9000.Contact Information
Primary practice address
6803 Mayfield Rd #305
Mayfield Hts OH 44124-2271
Phone: (440) 312-9000
Fax: (440) 312-9001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35054147 | Ohio |
Profile Details
NPI number | 1891787271 |
---|---|
LBN Legal business name | Blank, Mary Griswold |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2005 |
Last updated | Sep 20th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891787271 | NPPES |
Ohio | MEDICAID | 0692497 |
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