Mark W Grimm, MD
Mark W Grimm, MD is an Otolaryngology Physician in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1011 Bowles Ave Ste 405Fenton, MO 63026-2395
Phone: (314) 965-9184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 2001018662 (MO) |
|---|
Record details
| NPI number | 1942271689 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 31, 2006 |
| Last updated in NPPES | May 19, 2011 |
| Mailing address | Po Box 790379, Saint Louis, MO 63179-0379 |