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Individual

MR. PATRICK J GRIMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-0597
(406) 375-4858
Mailing address
1224 W MAIN ST, HAMILTON, MT 59840-2338
(406) 375-4823
(406) 375-4846

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
468
MT
363AM0700X
Medical Physician Assistant
468
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154318574
ID
05
1154318574
MT
Enumeration date
09/30/2005
Last updated
11/05/2015
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