MR. Dwight Grimm
NPI #1467069658 in Lake Waynoka, Ohio
Provider Information
- NPI Number
- 1467069658
- Entity Type
- Individual
- Name
- MR. Dwight Grimm
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Enumeration Date
- Sep 30, 2020
- Last Updated
- Sep 30, 2020
Practice Location
- Address
- 912 WAYNOKA DR
- City
- Lake Waynoka
- State
- Ohio
- ZIP Code
- 45171-9760
- Phone
- (937) 446-4149
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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