| Kathleen A Grimm, CRNA | |
|
23901 Lahser Rd, Southfield, MI 48034-6035 | |
| (248) 357-3360 | |
| (248) 357-0915 |
| Full Name | Kathleen A Grimm |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 23901 Lahser Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285678060 | NPI | - | NPPES |
| KG114284 | Other | MI | BCBSM NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704114284 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368 |
| Entity Name | Straith Hospital For Special Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548268436 PECOS PAC ID: 1153210067 Enrollment ID: O20040310001337 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen A Grimm, CRNA 6684 Meldrum Rd, Fair Haven, MI 48023-2001 Ph: (586) 725-8062 | Kathleen A Grimm, CRNA 23901 Lahser Rd, Southfield, MI 48034-6035 Ph: (248) 357-3360 |
Mary Lynn Meisel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Tracy Chase Groves, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Timothy Erdmann, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-349-4000 | |
Earl G Auty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Deborah A Dulman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Sean O'neill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Christina Anne O'brien, M.S., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |