Healthcare Provider Details

I. General information

NPI: 1306266911
Provider Name (Legal Business Name): MICHAEL GRIESSER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N CARTER RD
SMYRNA DE
19977-1282
US

IV. Provider business mailing address

640 S STATE ST MAIL CODE 3055
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-730-4366
  • Fax: 302-730-0231
Mailing address:
  • Phone: 302-730-4366
  • Fax: 302-730-0231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1-0000240
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: