Individual
DONALD GREYDANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6400
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301055777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225701
—
MI
01
—
3503909381
BCBS
—
05
—
4200091
—
MI
Enumeration date
03/14/2006
Last updated
11/06/2007
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