Individual
DR. MICHAEL G GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4774 MUNSON ST NW, SUITE 401, CANTON, OH 44718-3634
(330) 754-4431
(330) 777-5499
Mailing address
270 EAST STATE STREET, SUITE 240, ALLIANCE, OH 44601-3634
(330) 596-6560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077014G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256311
—
OH
Enumeration date
11/25/2005
Last updated
07/26/2017
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