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1215319140

NPI Code Detail

MEDICARE: DR. GRITZ PIERRE M.D.

MEDICARE: DR. GRITZ PIERRE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	2025045493	MO
2	208M00000X	Hospitalist Physician	MD190959	OR
3	208M00000X	Hospitalist Physician	307875	NY
4	207P00000X	Emergency Medicine Physician	307875	NY
5	207Q00000X	Family Medicine Physician	125067824	IL
6	207P00000X	Emergency Medicine Physician	MD190959	OR

General Provider Information

NPI Number	:	1215319140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRITZ PIERRE M.D.

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:	585-922-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 LONG POND RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-4164
Country	:	US
Telephone Number	:	585-723-7870
Fax Number	:	585-723-7871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2015
Last Update Date	:	06/16/2026

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Directions to “ DR. GRITZ PIERRE M.D.” Practice Location

Language	Start Address	Practice Location

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