Individual
JONATHAN C GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 WOODWINDS DR, WOODBURY, MN 55125-2270
(651) 232-0348
Mailing address
5680 HADLEY AVE N, APT. 201, OAKDALE, MN 55128-1004
(651) 255-6571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36958
MN
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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