Individual
MARK L. GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46550
MN
Other
Enumeration date
03/06/2006
Last updated
10/09/2008
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