Individual
ALEXANDER ANTONIO GRIMALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
(734) 246-8795
Mailing address
PO BOX 3308, PORTLAND, OR 97208-3308
(503) 215-1314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO182179
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
03/04/2013
Last updated
09/19/2017
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