IVAN M GRYNYSHIN

POTTSVILLE, PA
NPI1124000369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: PA  MD423998)
Enumeration Date2005-11-15
Last Update Date2009-04-20
Business Address
-- IVAN M GRYNYSHIN MD
420 S JACKSON ST
POTTSVILLE, PA 17901-3625
Phone number: 570-346-7797
Mailing Address
-- IVAN M GRYNYSHIN MD
PO BOX 390
SCRANTON, PA 18501-0390
Phone number: 570-346-7797