Individual
JOEL PAUL ENRICO GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CPNP-PC
Contact information
Practice address
1777 AXTELL DR STE 202, TROY, MI 48084-4435
(248) 594-3142
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704329723
MI
Other
Enumeration date
07/02/2019
Last updated
07/21/2022
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