Ivan M Grynyshin, MD

NPI #1124000369 in Pottsville, Pennsylvania

Provider Information

NPI Number: 1124000369
Entity Type: Individual
Name: Ivan M Grynyshin, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Nov 15, 2005
Last Updated: Apr 20, 2009

Practice Location

Address: 420 S JACKSON ST
City: Pottsville
State: Pennsylvania
ZIP Code: 17901-3625
Phone: (570) 346-7797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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