Mark W. Grimm, M.D.
Otolaryngology (ENT) · Fenton, MO
UnclaimedM.D.NPI 1942271689
- Primary taxonomy
- 207Y00000X
- Enumerated
- 2006-01-31
- Practice location
- Fenton, MO
- Last NPPES update
- 2011-05-19
State licenses
- MO · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.