Individual
MELISSA S GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-3000
(608) 417-3100
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47635
WI
Other
Enumeration date
09/14/2005
Last updated
05/18/2018
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