TIMOTHY J GRISSOM

FORT WAYNE, IN
NPI1386695542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IN  01050244)
Enumeration Date2006-05-13
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY J GRISSOM M.D.
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4731
Mailing Address
Dr. TIMOTHY J GRISSOM M.D.
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 260-471-9466
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