Individual
MARGARET J. GRIMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
992 LOHRMAN LN, PETALUMA, CA 94952-1612
(707) 331-6872
Mailing address
992 LOHRMAN LN, PETALUMA, CA 94952-1612
(707) 331-6872
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C50335
CA
2084P0800X
Psychiatry Physician
MD197619
OR
2084P0804X
Child & Adolescent Psychiatry Physician
C50335
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD197619
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673454
—
OH
Enumeration date
09/24/2006
Last updated
04/05/2024
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