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Individual
DR. GARY MICHAEL GRIMSLEY
Active
Individual
DR. GARY MICHAEL GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147743500
FEDERAL WORKMAN'S COMP.
MD
01
—
2174552
AETNA
MD
01
—
427879
ALLIANCE
MD
01
—
4794219002
CIGNA PPO
MD
01
—
4794219003
CIGNA HMO
MD
01
—
5870444
AETNA PPO
MD
01
—
LK96GR
BLUECROSS MARYLAND
MD
01
—
T289
BLUECROSS FEDERAL
MD
Enumeration date
02/05/2007
Last updated
10/10/2011
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