Leander M Grimm in Southaven - Surgery

Leander M Grimm - NPI 1598877805

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
Address 401 Southcrest Circle, Southaven, Mississippi
Phone Number 6623490311
Fax Number 6623490121
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1598877805
Provider Enumeration Date 2006-08-31
Last Updated Date 2016-10-20

Provider Mailing Address Detail

Address 401 Southcrest Circle
City Southaven
State Mississippi (MS)
Post Code 38671
Phone Number 6623490311
Fax Number 6623490121

Provider's Primary Taxonomy Detail

Speciality Surgery
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

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FAQs about Leander M Grimm

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.

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