Individual
DR. FREDERICK G GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
4031 W MAIN, KALAMAZOO, MI 49006
(269) 567-4202
Mailing address
250 GOLFVIEW, PLAINWELL, MI 49080
(269) 664-5846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68OC91218
BLUE CROSS
MI
Enumeration date
12/22/2006
Last updated
07/08/2007
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