Yanis Peteris Grants DR PSYCH

NPI 1043430184 - Psychologist - 103T00000X

NPI Details
NPI 1043430184
Gender Male
Enumeration Date 04/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4341 S WESTNEDGE AV
SUITE 2109
KALAMAZOO MI, 49008, US
Phone (269) 341-9300
Fax (269) 384-8448
Business Location
1616 DOVER RD
KALAMAZOO MI, 49008-2242, US
Phone (269) 217-1780
Fax (269) 384-8448
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301005437
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According to our database, Dr. Yanis Peteris Grants DR PSYCH NPI is 1043430184, taxonomy code is 103T00000X and license number is 6301005437, license state is located at Michigan. Yanis Peteris Grants DR PSYCH physically located at 4341 S Westnedge Av, Kalamazoo MI, 49008. NPI Number Yanis Peteris Grants DR PSYCH has the Individual type.

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1043430184 NPI number is provided on an as is basis without warranty of any kind. 1043430184 is maintained by the National Plan & Provider Enumeration System. The contents of Yanis Peteris Grants DR PSYCH are for informational purposes only.