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GREGORY J DEINES DO

Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

Provider NPI: 1427098532

Provider Information:
 GREGORY J DEINES DO
Gender: M
Not Sole Proprietor

Practice Location:
221 MICHIGAN ST NE STE 200 GRAND RAPIDS, MI 49503-2543 US
Tel: 616-267-8950  Fax: --

Business Mailing Address:
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503-2560 US
Tel: --  Fax: --

NPI Information:
NPI: 1427098532
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RE0101XPhysicians
Internal Medicine
Endocrinology, Diabetes & Metabolism
MI5101013842

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RE0101X

Type:

Classification:



Definition:



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