Organization
DR ROBERT D GRIMSHAW DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D GRIMSHAW DO (OWNER)
(989) 823-5030
Entity
Organization
Contact information
Practice address
201 W HURON AVE, VASSAR, MI 48768-1237
(989) 823-5030
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013846
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4532064
—
MI
Enumeration date
05/23/2006
Last updated
02/01/2008
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