Individual provider · Type 1 NPI

Walter Andrew Gryczewski Jr., MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1174371827 Active

Practice location

4160 John R St Ste 615
Detroit, MI 48201-2022

Call (313) 745-4195 Map

Fax (313) 993-8669

Mailing address

10063 Wyandot Pl
Perrysburg, OH 43551-3670

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174371827

Walter Andrew Gryczewski Jr., MD's National Provider Identifier is 1174371827, issued on May 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 8, 2024.