Individual
MR. TIM V GRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 W 300 S, CRAWFORDSVILLE, IN 47933-6943
(765) 361-6940
Mailing address
670 W 300 S, CRAWFORDSVILLE, IN 47933-6943
(765) 361-6940
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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