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
Fax: (440) 312-9001
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891787271 NPPES
Ohio MEDICAID 0692497

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