| NPI | 1740588425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ROSS GRINKEWITZ President/Physician 757-393-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103000751) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |