Individual
ELISABETH MARYCKE VREEDE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101026222
MI
207P00000X
Emergency Medicine Physician
Primary
71244
MN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
—
Enumeration date
04/02/2018
Last updated
06/29/2022
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