Individual
MRS. JOYCE ELIZABETH GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
2567 W GRAND BLVD, DETROIT, MI 48208-1235
(313) 895-5340
Mailing address
15224 HAVERHILL DR, MACOMB, MI 48044-1933
(586) 247-6279
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704171005
MI
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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