Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALLEN GREVIOUS, M.D.
ActiveDR. MARK ALLEN GREVIOUS, M.D. is a Plastic Surgery healthcare provider located in MUNSTER, Indiana. NPI 1194727909 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · MUNSTER, IN
Registration Details
- NPI Number
- 1194727909
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (20.982328869485 yrs)
- Last Updated
- Apr 25, 2025
- Licenses
-
036100551 (IL)01060561A (IN)01060561A (IN)036100551 (IL)036100551 (IL)
Practice Information
- Address
-
7905 CALUMET AVEMUNSTER, IN, 463212549Browse IN providers · Browse ZIP 46321
- Phone
- 2198367506
- Fax
- 2198367515
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- Plastic and Reconstructive Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.