Individual
DR. TERESA J. GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3265 INTERTECH DR, ANGOLA, IN 46703-7325
(260) 665-9494
(260) 665-9496
Mailing address
1175 E 300 N, ANGOLA, IN 46703-9505
(701) 580-2489
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7579
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039746
—
MT
05
—
18891
—
ND
01
—
20492
BLUE SHIELD OF ND
ND
Enumeration date
07/17/2006
Last updated
12/16/2013
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