| Doctor Name: | DR. MARSHALL SALVATORE GRILLO |
| NPI Number: | 1245331768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101005492 |
| Business Practice Address: | 5239 Grove Mnr Lady Lake, FL - 321593527 |
| Business Phone Number: | 3527537591 |
| Business Fax Number: | 3527537591 |
| Mailing Address: | 909 W 3rd St, GLADWIN |
| State: | MI |
| Postal Code: | 486241048 |
| Phone Number: | 9894268228 |
| Fax Number: | 9894268228 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 5101005492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |