Individual
MS. ANN M GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 955-0094
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 955-0094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.005166
IL
363A00000X
Physician Assistant
Primary
8527-023
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649401985
—
WI
Enumeration date
08/04/2009
Last updated
05/04/2026
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