Individual
DR. DAVID CHARLES GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
229 PARRISH ST, SUITE 100, CANANDAIGUA, NY 14424-1791
(585) 394-1960
(585) 393-9232
Mailing address
229 PARRISH ST, SUITE 100, CANANDAIGUA, NY 14424-1791
(585) 394-1960
(585) 393-9232
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
196161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010196161
EXCELLUS ROCHESTER
NY
05
—
01827467
—
NY
01
—
0599066
GHI
NY
01
—
101522CU
PREFERRED CARE
NY
01
—
7073233
AETNA
NY
01
—
918780001
HEALTHNOW
NY
Enumeration date
06/12/2006
Last updated
06/28/2010
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