Johannes Fredrik Grimmer
Pediatric Otolaryngology
100 N Medical Dr Suite 4500
Salt Lake City
, Utah 84113-1103
Johannes Fredrik Grimmer
Pediatric Otolaryngology
100 N Medical Dr Suite 4500
Salt Lake City
, Utah 84113-1103
(801) 213-3800
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Johannes Fredrik Grimmer
- Po Box 581094
- Salt Lake City, UT
- Zip : 84158-1094
- Phone : (801) 213-3800
Second Address
- Johannes Fredrik Grimmer
- 100 N Medical Dr Suite 4500
- Salt Lake City, UT
- Zip : 84113-1103
- Phone : (801) 662-5671
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 5856707-1205 | UT |
National Provider Identifier
| NPI | 1477643070 |
|---|---|
| Provider Name | Johannes Fredrik Grimmer |
| First Address | Salt Lake City, UT 84158-1094 |
| Second Address | Salt Lake City, UT 84113-1103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 02/11/2021 |
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.