NPI 1073359709

Megan Leigh Grimm, DNPFNPBC

Practitioner Family Medicine Physician Green Bay, WI

Practice location

Address: 1726 Shawano Ave, Green Bay, WI 54303-3216
Phone: (920) 884-3135

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 15549-33 (WI)

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Registry record

NPI: 1073359709
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2024
Record last updated: 2 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.