# DAVID N. GRIMSHAW, D.O. PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356517585
- **Authorized official:** DAVID N GRIMSHAW DO (OWNER)
- **Authorized official phone:** (517) 492-4818

## Contact information

- **Practice address:** 1106 N CEDAR ST STE 200B, LANSING, MI 48906-5334
- **Practice address phone:** (517) 492-4818
- **Practice address fax:** (517) 492-4896
- **Mailing address:** 1106 N CEDAR ST STE 200B, LANSING, MI 48906-5334
- **Mailing address phone:** (517) 492-4818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 009715 | MI | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | 009715 | MI | — |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 07/10/2023