Mark W Grimm, MD in Fenton, MO - Otolaryngology

Mark W Grimm, MD is a Otolaryngology physician based in Fenton, Missouri. Mark W Grimm is licensed to practice in Missouri (license number 2001018662) and his current practice location is 1011 Bowles Ave, Suite 405, Fenton, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 965-9184.

NPI number for Mark W Grimm is 1942271689 and his current mailing address is Po Box 790379, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942271689.

Contact Information

	Mark W Grimm, MD
	1011 Bowles Ave, Suite 405, Fenton, MO 63026-2395
	(314) 965-9184
	Not Available

Physician's Profile

Full Name	Mark W Grimm
Gender	Male
Speciality	Otolaryngology
Location	1011 Bowles Ave, Fenton, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1942271689
Provider Enumeration Date: 01/31/2006
Last Update Date: 05/19/2011

Medical Identifiers

Medical identifiers for Mark W Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942271689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	2001018662 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark W Grimm is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mark W Grimm, MD Po Box 790379, Saint Louis, MO 63179-0379 Ph: (314) 965-9184	Mark W Grimm, MD 1011 Bowles Ave, Suite 405, Fenton, MO 63026-2395 Ph: (314) 965-9184

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Mark W Grimm, MD - Otolaryngology in Fenton, MO