Individual
MICHAEL ALLAN GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
921 NE 13TH ST, VAMC AUDIOLOGY #126, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
Mailing address
834 NW 16TH ST, OKLAHOMA CITY, OK 73106-6402
(405) 270-0501
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
266
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100666350A
—
OK
01
—
736017987108
DEPT OF REHAB
OK
Enumeration date
10/21/2005
Last updated
04/15/2025
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