Provider Demographics
NPI:1578339123
Name:GRIESER, PUNNEY
Entity Type:Individual
Prefix:
First Name:PUNNEY
Middle Name:
Last Name:GRIESER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3274 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3505
Mailing Address - Country:US
Mailing Address - Phone:419-494-4545
Mailing Address - Fax:
Practice Address - Street 1:3274 NORWOOD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-3505
Practice Address - Country:US
Practice Address - Phone:419-494-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care