Individual
DR. DYLAN EUGENE GREENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 426-9355
Mailing address
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202-5209
(317) 278-2686
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01085699A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019560A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11019560A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/20/2017
Last updated
09/14/2021
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