Dr. Martin P. Greydanus M.D.
Specialist in Grand Rapids, MI(View on Map)
Full Name
Dr. Martin P. Greydanus M.D.
NPI Number
1043215544
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/20/2005
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
4301048500
Contact
Information
Purpose
Mailing
Location
Address
310 LAFAYETTE AVE SE
310 LAFAYETTE AVE SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49503-4693
49503-4693
Country
US
US
Telephone Number
(616) 752-6525
(616) 752-6525
Identifiers
Identifier
2701613
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007