Healthcare Provider Details

I. General information

NPI: 1073428959
Provider Name (Legal Business Name): PASCALE GRIMARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
CINCINNATI OH
45229
US

IV. Provider business mailing address

505 4 STREET SE UNIT 2008
CALGARY ALBERTA
T2G1VG
CA

V. Phone/Fax

Practice location:
  • Phone: 513-803-4738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: