person
Dr. Martin P. Greydanus, MD
Specialist in Grand Rapids, Michigan
NPI 1043215544

Martin P. Greydanus is a Specialist based in Grand Rapids, MI. Martin P. Greydanus practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Martin P. Greydanus is 1043215544 and holds a License No. 4301048500 (Michigan).

The current practice location address for Martin P. Greydanus is 310 Lafayette Ave Se, Grand Rapids, MI and can be reached out via phone at 616-752-6525 and via fax at 616-752-6556.

Location: 310 Lafayette Ave Se, Grand Rapids, MI, 49503-4693
person
Provider Profile Details
NPI Number
1043215544
Provider Name
Martin P. Greydanus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
310 Lafayette Ave Se, Grand Rapids, MI, 49503-4693
Phone Number
616-752-6525
Fax Number
616-752-6556
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2701613 05 MI
institution
Provider Business Practice Location Address Details
Address
310 Lafayette Ave Se
City
State
Zip
49503-4693
Phone Number
616-752-6525
Fax Number
616-752-6556
person
Provider Business Mailing Address Details
Address
310 Lafayette Ave Se
City
State
Zip
49503-4693
Phone Number
616-752-6525
Fax Number
616-752-6556
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
4301048500 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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