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MICHAEL B GRILLOT M.D.

Hand Surgery >> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1366423980

Individual Registrant:
 MICHAEL B GRILLOT M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1906 BLAKE AVE  GLENWOOD SPGS, CO 81601-4227 US
Tel: 970-384-7140  Fax: 970-384-7293

Contact information for business:
1906 BLAKE AVE  GLENWOOD SPGS, CO 81601-4227 US
Tel: 970-384-7140  Fax: 970-384-7293

Registration Information:
NPI: 1366423980
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207XS0106XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
Hand Surgery
MO106801
N207XS0106XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
CO54940

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1366423980MO05
MCR RRP01085134MO01
128583001AR05
TRICARE431560263MO01




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