Individual
DR. GARY MICHAEL GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22780 THREE NOTCH RD, LEXINGTON PARK, MD 20653-1538
(301) 737-0662
(301) 737-0675
Mailing address
22780 THREE NOTCH RD, LEXINGTON PARK, MD 20653-1538
(301) 737-0662
(301) 737-0675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147743500
FEDERAL WORKMAN'S COMP.
MD
01
—
2174552
AETNA
MD
01
—
427879
ALLIANCE
MD
01
—
4794219002
CIGNA PPO
MD
01
—
4794219003
CIGNA HMO
MD
01
—
5870444
AETNA PPO
MD
01
—
LK96GR
BLUECROSS MARYLAND
MD
01
—
T289
BLUECROSS FEDERAL
MD
Enumeration date
02/05/2007
Last updated
10/10/2011
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