Individual
TERRENCE M GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-7879
(812) 336-7881
Mailing address
419 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-7879
(812) 336-7881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01034559A
IN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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