Dr. Holly J Grimslid
Orthodontists
1200 Main St
La Crosse
, Wisconsin 54601-4102
Dr. Holly J Grimslid
Orthodontists
1200 Main St
La Crosse
, Wisconsin 54601-4102
(608) 782-6778
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Holly J Grimslid
- 1200 Main St
- La Crosse, WI
- Zip : 54601-4102
- Phone : (608) 782-6778
Second Address
- Dr. Holly J Grimslid
- 1200 Main St
- La Crosse, WI
- Zip : 54601-4102
- Phone : (608) 782-6778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 5251-015 | WI |
National Provider Identifier
| NPI | 1023348729 |
|---|---|
| Provider Name | Dr. Holly J Grimslid |
| First Address | La Crosse, WI 54601-4102 |
| Second Address | La Crosse, WI 54601-4102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.