Individual
JOHN K. GREBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
560 W MITCHELL ST, SUITE 208, PETOSKEY, MI 49770-2275
(231) 347-5034
(231) 347-5194
Mailing address
560 W MITCHELL ST, SUITE 208, PETOSKEY, MI 49770-2275
(231) 347-5034
(231) 347-5194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B410940
BLUE CROSS
MI
Enumeration date
01/02/2007
Last updated
11/14/2016
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