Individual
DR. YANIS PETERIS GRANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR PSYCH
Contact information
Practice address
4341 S WESTNEDGE AV, SUITE 2109, KALAMAZOO, MI 49008
(269) 341-9300
(269) 384-8448
Mailing address
1616 DOVER RD, KALAMAZOO, MI 49008-2242
(269) 217-1780
(269) 384-8448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005437
MI
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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