| Organization Name: | MICHAEL G. GRIMES MD, INC |
| NPI Number: | 1053592899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEGGY MCCARDLE (OFFICE MANAGER) |
| Mailing Address: | 791 White Pond Dr Suite C Akron |
| State: | OH US |
| Postal Code: | 443204202 |
| Phone Number: | 3308699598 |
| Fax Number: | 3308699588 |
| NPI Enumeration Date: | 11/20/2007 |
| NPI Last Update Date: | 04/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35077014G |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |