Individual
DR. JEANETTE LYNN GRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 287-9029
Mailing address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 287-9029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
071844
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2010
Last updated
05/09/2016
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