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1215916101
KENNETH J GRIMM
CANTON, MI
NPI
1215916101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301064321)
Enumeration Date
2006-01-10
Last Update Date
2012-01-06
Business Address
KENNETH J GRIMM MD
50439 INDEPENDENCE ST
CANTON, MI 48188-6735
Phone number: 734-879-1068
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Mailing Address
KENNETH J GRIMM MD
49796 TAFT LN
CANTON, MI 48188-6722
Phone number: 734-446-0310
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