Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM C GRIMM, PA
ActiveADAM C GRIMM, PA is a Physician Assistant healthcare provider located in PEWAUKEE, Wisconsin. NPI 1407110653 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PEWAUKEE, WI
Registration Details
- NPI Number
- 1407110653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2012 (14.130388003969 yrs)
- Last Updated
- Aug 28, 2023
- Licenses
-
100887-875 (WI)7534 (WI)
Practice Information
- Address
-
N15W28300 GOLF RDPEWAUKEE, WI, 530724800Browse WI providers · Browse ZIP 53072
- Phone
- 2623035055
- Fax
- 2623035057
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PEWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. MEGHAN VICTORIA KLINCK | PA-C | 1275594103 |
| MR. STEVEN JON BAUGRUD | PA | 1629084140 |
| SARA L STODDARD | PA-C | 1417053414 |
| MRS. JENNAFER D HAMEL | P.A.-C | 1568569341 |
| LISA M FILZEN | PA-C | 1740419332 |
| MR. JAMES C BELL | PA | 1245559434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.