MR. Jared Matthew Grzanich, P.A.-C

NPI #1093984551 in Canton, Illinois

Provider Information

NPI Number: 1093984551
Entity Type: Individual
Name: MR. Jared Matthew Grzanich, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Feb 28, 2008
Last Updated: Apr 13, 2021

Practice Location

Address: 180 S MAIN ST
City: Canton
State: Illinois
ZIP Code: 61520-2608
Phone: (309) 647-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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