Martin P. Greydanus M.D.

NPI 1043215544 - Specialist - 174400000X

NPI Details
NPI 1043215544
Gender Male
Enumeration Date 06/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
310 LAFAYETTE AVE SE
STE 400
GRAND RAPIDS MI, 49503-4693, US
Phone (616) 752-6525
Fax (616) 752-6556
Business Location
310 LAFAYETTE AVE SE
STE 400
GRAND RAPIDS MI, 49503-4693, US
Phone (616) 752-6525
Fax (616) 752-6556
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301048500
Remove 1043215544 NPI Number
 

According to our database, Dr. Martin P. Greydanus M.D. NPI is 1043215544, taxonomy code is 174400000X and license number is 4301048500, license state is located at Michigan. Martin P. Greydanus M.D. physically located at 310 Lafayette Ave Se, Grand Rapids MI, 49503-4693. NPI Number Martin P. Greydanus M.D. has the Individual type.

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1043215544 NPI number is provided on an as is basis without warranty of any kind. 1043215544 is maintained by the National Plan & Provider Enumeration System. The contents of Martin P. Greydanus M.D. are for informational purposes only.