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Individual

DR. CHARLES H GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 BIG BEAVER RD, STE 105, TROY, MI 48084
(248) 649-2820
(248) 649-1444
Mailing address
3001 BIG BEAVER RD, STE 105, TROY, MI 48084
(248) 649-2820
(248) 649-1444

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301031150
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376547
MI
01
1806356171
BLUE CROSS BLUE SHIELD
MI
01
B44973
MEDICARE RAILROAD
MI
Enumeration date
03/08/2006
Last updated
05/20/2008
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