Individual
MANUEL GRIMALDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4003 KRESGE WAY, SUITE 500, LOUISVILLE, KY 40207
(502) 897-1166
(502) 897-1461
Mailing address
4003 KRESGE WAY, SUITE 500, LOUISVILLE, KY 40207
(502) 897-1166
(502) 897-1461
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17866
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64178668
—
KY
Enumeration date
01/30/2006
Last updated
07/08/2007
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