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Organization

JERRY M. GREIB PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY M GREIB DO (OWNER)
(586) 493-8000
Entity
Organization

Contact information

Practice address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 632-0175
Mailing address
PO BOX 8836, GRAND RAPIDS, MI 49518-8836
(866) 898-7139
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0155010555
BCBS
Enumeration date
12/06/2006
Last updated
12/29/2010
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