Dr. Timothy J Grissom, MD - Fort Wayne, IN

Dr. Timothy J Grissom, MD

Diagnostic Radiology Physician in Fort Wayne, Indiana

NPI 1386695542

Timothy J Grissom is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Timothy J Grissom practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Timothy J Grissom is 1386695542 and holds a License No. 01050244 (Indiana).

The current practice location address for Timothy J Grissom is 2200 Randallia Dr, Fort Wayne, IN and can be reached out via phone at 260-373-4731.

Location: 2200 Randallia Dr, Fort Wayne, IN, 46845-1702

NPI Number

1386695542

Provider Name

Timothy J Grissom

Credential

Provider Entity Type

Individual

Gender

Male

Address

2200 Randallia Dr, Fort Wayne, IN, 46845-1702

Phone Number

260-373-4731

Fax Number

Provider Enumeration Date

05/13/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
000000092616	01	IN	ANTHEM

Address

2200 Randallia Dr

City

Fort Wayne

State

Indiana

Zip

46805-4638

Phone Number

260-373-4731

Fax Number

Address

2200 Randallia Dr

City

Fort Wayne

State

Indiana

Zip

46805-4638

Phone Number

260-373-4731

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Diagnostic Radiology

Taxonomy

2085R0202X

License No.

01050244 (Indiana)

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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