Mark W Grimm, M.D.

NPI #1942271689 in Fenton, Missouri

Provider Information

NPI Number: 1942271689
Entity Type: Individual
Name: Mark W Grimm, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Jan 31, 2006
Last Updated: May 19, 2011

Practice Location

Address: 1011 BOWLES AVE
Address 2: SUITE 405
City: Fenton
State: Missouri
ZIP Code: 63026-2395
Phone: (314) 965-9184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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