# MICHAEL ALLAN GRIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659361665
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 266 | OK | Yes |

## Other

- **Enumeration date:** 10/21/2005
- **Last updated:** 04/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100666350A | — | OK |
| 01 | — | 736017987108 | DEPT OF REHAB | OK |