Individual
MR. DONAVON LAINE GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 GRAND AVE APT 201, DES MOINES, IA 50312-4172
(319) 461-2724
Mailing address
3205 GRAND AVE APT 201, DES MOINES, IA 50312-4172
(319) 461-2724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
077152
IA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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