Individual
DOUGLAS L. GREVES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 7TH STREET NE, DEVILS LAKE, ND 58301-1100
(701) 662-2157
(701) 662-4116
Mailing address
PO BOX 1100, DEVILS LAKE, ND 58301-1100
(701) 662-2157
(701) 662-4116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3899
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12620
—
ND
Enumeration date
07/14/2005
Last updated
07/08/2007
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