Leander M Grimm is a Surgery in Southaven, Mississippi. Leander M Grimm practices all healthcare services and medical treatments related to Surgery. The NPI Number for Leander M Grimm is 1598877805. The last update date is 2016-10-20.
Leander M Grimm's current location address is 401 Southcrest Circle, Southaven, Mississippi. You can contact this provider via phone number 6623490311 and fax number 6623490121. The mailing address for Leander M Grimm is 401 Southcrest Circle, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leander M Grimm |
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Address | 401 Southcrest Circle, Southaven, Mississippi |
Phone Number | 6623490311 |
Fax Number | 6623490121 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1598877805 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2016-10-20 |
Provider Mailing Address Detail
Address | 401 Southcrest Circle |
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City | Southaven |
State | Mississippi (MS) |
Post Code | 38671 |
Phone Number | 6623490311 |
Fax Number | 6623490121 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 12705 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3726800 | TN | -- | |
111800 | MS | -- | |
4091934 | TN | BCBS TN PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Leander M Grimm by the Centers for Medicare & Medicaid Services?
The Leander M Grimm has been issued the NPI (National Provider Identifier) 1598877805. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Leander M Grimm is physically located?
The Leander M Grimm is situated at the following address: 401 Southcrest Circle, Southaven, MS 38671.
What is Leander M Grimm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leander M Grimm's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598877805 to Leander M Grimm?
The Centers for Medicare & Medicaid Services assigned the 1598877805 to Leander M Grimm on 2006-08-31.
As of what date was the information regarding Leander M Grimm, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leander M Grimm, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-10-20.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA