Individual
MR. CLARENCE E. GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(414) 916-0841
Mailing address
195 HWY 50, SUITE #104, PMB 7172-289, STATELINE, NV 89449-7172
(414) 916-0841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36279
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
36279
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
14040
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32093400
—
WI
Enumeration date
07/25/2006
Last updated
03/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us