Individual
DR. MATTHEW MICHAEL GRINSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 587-7575
(801) 581-8043
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
65474331205
UT
Other
Enumeration date
03/16/2007
Last updated
12/10/2021
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