| Doctor Name: | MICHAEL GRIMES |
| NPI Number: | 1275500720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 1464 |
| Business Practice Address: | 1700 San Pablo Ave Suite E Pinole, CA - 945642081 |
| Business Phone Number: | 5107241530 |
| Business Fax Number: | |
| Mailing Address: | 1700 San Pablo Ave, Suite E PINOLE |
| State: | CA |
| Postal Code: | 945642081 |
| Phone Number: | 5107241530 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2006 |
| NPI Last Update Date: | 02/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1464 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |