Individual
MAUREEN GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 235-7272
Mailing address
5750 HENDEE LN, PORTLAND, MI 48875-9652
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001866
MI
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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