Individual
JADE MARIE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-02296
NC
207Q00000X
Family Medicine Physician
64096
MN
Other
Enumeration date
04/19/2017
Last updated
08/18/2020
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