Individual
JAY ALEXANDER GRIMSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-3000
(248) 964-8448
Mailing address
130 TOWN CENTER DR STE 203, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704300197
MI
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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