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Individual

MATTHEW DEAN GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-4757
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
64021
WI
208800000X
Urology Physician
MD-44977
IA

Other

Enumeration date
04/16/2013
Last updated
01/21/2021
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