Individual
MICHAEL R GRIMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 N DAKOTA AVE, SIOUX FALLS, SD 57104-6419
(605) 275-1000
Mailing address
901 SUMMIT ST, YANKTON, SD 57078-3339
(605) 660-2651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SD-CNPCP002372
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP002372
NA
SD
Enumeration date
04/11/2022
Last updated
04/13/2022
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