Individual
DR. JOANNES M GREVELINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
60705
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060705
TUFTS HEALTH PLAN
MA
05
—
3057623
—
MA
01
—
J08910
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
05/13/2019
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