Individual
LUIGI GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6101 NEWPORT RD STE A, PORTAGE, MI 49002-9237
(269) 382-6500
(269) 382-2286
Mailing address
6101 NEWPORT RD STE A, PORTAGE, MI 49002-9237
(269) 382-6500
(269) 382-2286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004930
MI
Other
Enumeration date
08/18/2015
Last updated
10/08/2015
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