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ANNETTE RENAE GRIMSHAW
1500 14TH ST W WILLISTON ND 588014077

ANNETTE RENAE GRIMSHAW is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1104949338. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1557386216. The primary specialty is OPTOMETRY. The organization is WILLISTON BASIN EYECARE ASSOCIATES PC. The address is 1500 14TH ST W, , WILLISTON, ND, 588014077. The zip code is 588014077.


Nation Provider ID1104949338
PAC ID by PECOS1557386216
Professional Enrollment IDI20150804003977
NameANNETTE RENAE GRIMSHAW
Medical School NameINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year2001
Primary SpecialtyOPTOMETRY
All secondary specialties
Organization NameWILLISTON BASIN EYECARE ASSOCIATES PC
Group Practice PAC ID4183892995
Number of Group Practice members6
Address1500 14TH ST W, , WILLISTON, ND, 588014077
Hospital affiliation LBN
Graduation Year2001
Contact Number7015773937
Email Address[Show_Email_ID]

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