| Doctor Name: | ANTHONY W. GREUTMAN |
| NPI Number: | 1467616466 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSW, LICDC |
| License Number: | 011157 |
| Business Practice Address: | 1158 Westwood Dr Van Wert, OH - 458912449 |
| Business Phone Number: | 4192383434 |
| Business Fax Number: | 4192381955 |
| Mailing Address: | 1158 Westwood Dr, VAN WERT |
| State: | OH |
| Postal Code: | 458912449 |
| Phone Number: | 4192383434 |
| Fax Number: | 4192381955 |
| NPI Enumeration Date: | 07/18/2008 |
| NPI Last Update Date: | 07/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 011157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |