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Individual
MATTHEW DEAN GRIMES
Active
Individual
MATTHEW DEAN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
64021
WI
208800000X
Urology Physician
MD-44977
IA
Other
Enumeration date
04/16/2013
Last updated
01/21/2021
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