Gerald W Grim, MD | |
390 Orbiting Dr, Mosinee, WI 54455 | |
(715) 693-9100 | |
Not Available |
Full Name | Gerald W Grim |
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Gender | Male |
Speciality | Family Medicine |
Location | 390 Orbiting Dr, Mosinee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881709301 | NPI | - | NPPES |
30169500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21258 (Wisconsin) | Primary |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Mailing Address | Practice Location Address |
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Gerald W Grim, MD 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: () - | Gerald W Grim, MD 390 Orbiting Dr, Mosinee, WI 54455 Ph: (715) 693-9100 |
William C Nietert, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1881 Highway Xx, Mosinee, WI 54455 Phone: 715-355-4040 | |
William H Johnston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 Highway Xx, Mosinee, WI 54455 Phone: 715-355-4040 | |
Susan M Schneider, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1881 Highway Xx, Mosinee, WI 54455 Phone: 715-355-4040 | |
Elizabeth G Barr, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Highway Xx, Mosinee, WI 54455 Phone: 715-355-4040 | |
Darrell Witt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1928 Dubay Dr, Mosinee, WI 54455 Phone: 715-457-6521 | |
Boyd J Groth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 390 Orbiting Dr, Mosinee, WI 54455 Phone: 715-693-9100 |