Provider Demographics
NPI:1255504395
Name:GRIEDER, MICHAEL E (ND)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:GRIEDER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:MISCHA
Other - Middle Name:
Other - Last Name:GRIEDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:380 W PORTAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1428
Mailing Address - Country:US
Mailing Address - Phone:415-706-0015
Mailing Address - Fax:
Practice Address - Street 1:380 W PORTAL AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-1428
Practice Address - Country:US
Practice Address - Phone:415-706-0015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-265175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath