Dr Dalton Grimm, MD | |
915 E 1st St, Duluth, MN 55805-2193 | |
(218) 249-5555 | |
Not Available |
Full Name | Dr Dalton Grimm |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 915 E 1st St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053940841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301506940 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 73439 (Minnesota) | Primary |
Entity Name | Ecs Western Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
Mailing Address | Practice Location Address |
---|---|
Dr Dalton Grimm, MD 915 E 1st St, Duluth, MN 55805-2107 Ph: (218) 249-5555 | Dr Dalton Grimm, MD 915 E 1st St, Duluth, MN 55805-2193 Ph: (218) 249-5555 |
Blake Ervin Collison, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Dr. Gregory K Bernhardt, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5616 | |
Dr. Colton David Wiesner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 402 E 2nd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Dr. Wendell Rhett Bonner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 | |
Dr. Erika M Miles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4357 | |
Dr. Timothy E Borden, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 |