Vladislav G Groysman, DO
Internal Medicine in Tacoma, WA. Individual provider (NPI-1).
NPI number1962187807
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1962187807
- Entity type
- Individual (NPI-1)
- Name
- Vladislav G Groysman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OL61443656 | WA | Yes |
Practice location
1717 S J StTacoma, WA 98405-4933
Phone 253-426-4101
Mailing address
1515 Tacoma Ave S Apt 221Tacoma, WA 98402-1823
Phone 646-322-0494
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