Nicholas P Grimm PA

  • NPI 1104023381
According to our database, the NPI number for Nicholas P Grimm PA is 1104023381 and activated since 16 years ago. Nicholas P Grimm PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 2605 Development Dr, Green Bay, WI 54311. You can also contact Nicholas P Grimm PA via telephone number is (920) 288-8240. Provider NPI information was last updated on 01/24/2018.

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Overview of Nicholas P Grimm PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/29/2007
  • Last updated: 01/24/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 2166-023
  • License State: WI

Provider Mailing Address

  • Address: 164 N Broadway
    Green Bay, WI 54303
  • Phone: 920-288-8240
  • Fax: 920-288-8255

Provider Practice Location

  • Address: 2605 Development Dr
    Green Bay, WI 54311
  • Phone: 920-288-8240
  • Fax: 920-288-8255

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 2166-023
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 171400015
  • Identifier Type: Other
  • Identifier State: WI
  • Issuer: MEDICARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicholas P Grimm PA?
  • A: The npi number for Nicholas P Grimm PA is 1104023381.
  • Q: What are Nicholas P Grimm PA's specialties?
  • A: Nicholas P Grimm PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Nicholas P Grimm PA?
  • A: The medical license number for Nicholas P Grimm PA is 2166-023 and issued in WI in USA.
  • Q: Where is Nicholas P Grimm PA practice location?
  • A: Nicholas P Grimm PA is practicing at 2605 Development Dr, Green Bay, WI 54311.
  • Q: How to contact Nicholas P Grimm PA?
  • A: You can contact Nicholas P Grimm PA via 920-288-8240.