Individual
JOHANNA R KREBIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2543
(248) 703-5269
Mailing address
341 HOBART ST SE, GRAND RAPIDS, MI 49507-3140
(248) 703-5269
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301096903
MI
Other
Enumeration date
07/15/2010
Last updated
11/11/2015
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