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Individual

DR. ROBERT GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5505 LAKE AVE, SAINT JOSEPH, MO 64504-1440
(816) 238-1200
(816) 238-4900
Mailing address
6408 KING HILL AVE, SAINT JOSEPH, MO 64504-2068
(816) 238-1200
(816) 238-4900

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6222
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
757656400
MO
Enumeration date
06/12/2006
Last updated
02/07/2019
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