Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK W GRIMM, M.D.
ActiveMARK W GRIMM, M.D. is a Otolaryngology healthcare provider located in FENTON, Missouri. NPI 1942271689 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · FENTON, MO
Registration Details
- NPI Number
- 1942271689
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2006 (20.572352768209 yrs)
- Last Updated
- May 19, 2011
- License
-
2001018662 (MO)
Practice Information
- Address
-
1011 BOWLES AVESUITE 405FENTON, MO, 630262395Browse MO providers · Browse ZIP 63026
- Phone
- 3149659184
- Primary Specialty
-
Otolaryngology
207Y00000X
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.