Provider Demographics
NPI:1659877181
Name:GRISELLI, MASSIMO (MD MS FRCS)
Entity Type:Individual
Prefix:DR
First Name:MASSIMO
Middle Name:
Last Name:GRISELLI
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Gender:M
Credentials:MD MS FRCS
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Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:500 HARVARD STREET SE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0363
Mailing Address - Country:US
Mailing Address - Phone:612-884-0649
Mailing Address - Fax:612-676-8992
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:500 HARVARD STREET SE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0363
Practice Address - Country:US
Practice Address - Phone:612-884-0649
Practice Address - Fax:612-676-8992
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-12-12
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Provider Licenses
StateLicense IDTaxonomies
MN638542080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology