Provider Demographics
NPI:1740485036
Name:GREKIN, JAMES ALLEN (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:GREKIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36708 TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1946
Mailing Address - Country:US
Mailing Address - Phone:248-788-5033
Mailing Address - Fax:248-788-5034
Practice Address - Street 1:36708 TANGLEWOOD LN
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1946
Practice Address - Country:US
Practice Address - Phone:248-788-5033
Practice Address - Fax:248-788-5034
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101005064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine