Individual
MEGAN LEIGH GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP FNP-BC
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 362-4662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15549-33
WI
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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