Individual
CRAIG MICHAEL GREVEN
Active
Individual
CRAIG MICHAEL GREVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28497
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195723000
—
WV
01
—
2865
PARTNERS
—
01
—
36608
MEDCOST
—
01
—
37201
BCBS
—
01
—
5599024
AETNA
—
05
—
6330207
—
VA
05
—
7937201
—
NC
05
—
Q28497
—
SC
Enumeration date
11/28/2005
Last updated
08/20/2010
Update your record
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