Individual
DR. DANIEL PAUL GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
909 S TAYLOR DR, SHEBOYGAN, WI 53081-4766
(920) 451-7000
(920) 451-7100
Mailing address
909 S TAYLOR DR, SHEBOYGAN, WI 53081-4766
(920) 451-7000
(920) 451-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4491-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000035542
MEDICARE GROUP ID
WI
Enumeration date
10/03/2007
Last updated
04/18/2012
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