Individual
TIMOTHY GREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., P.E.S.
Contact information
Practice address
275 SYNDICATE ST N, SAINT PAUL, MN 55104-5436
(651) 641-8230
Mailing address
3929 LYNDALE AVE S, MINNEAPOLIS, MN 55409-1464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2173
MN
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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