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Individual

ERICA MARIE GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3412 OFFICE PARK DR, MARION, IL 62959-6477
(618) 993-0404
(618) 993-1717
Mailing address
21819 ENYENHAUSEN RD, CREAL SPRINGS, IL 62922-2423
(315) 708-2283

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036176517
IL
208000000X
Pediatrics Physician
2105
NE

Other

Enumeration date
04/05/2018
Last updated
08/26/2025
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