Individual
DR. MATTHEW HOWARD GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
1850 S OCEAN DR APT 1810, HALLANDALE BEACH, FL 33009-7680
(888) 886-5238
(888) 886-9330
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09813200
NJ
2085R0202X
Diagnostic Radiology Physician
4301054242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29743
COMMUNITY CHOICE OF MI
MI
01
—
300107168
RAILROAD MEDICARE
MI
01
—
4166015
MOLINA HEALTHCARE
MI
05
—
4166015
—
MI
01
—
802538
COMMUNITY CARE PLAN
MI
Enumeration date
10/02/2006
Last updated
10/25/2018
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