Individual provider · Type 1 NPI
Mark W. Grimm, MD
Otolaryngology Physician · Fenton, MO
Practice location
1011 Bowles Ave, Suite 405
Fenton, MO 63026-2395
Mailing address
PO Box 790379
St. Louis, MO 63179-0379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician Primary | 207Y00000X | 2001018662 (MO) |
Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…
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About NPI 1942271689
Mark W. Grimm, MD's National Provider Identifier is 1942271689, issued on Jan 31, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Fenton, MO. The record was last updated on May 19, 2011.