Individual
MR. MICHAEL V. GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 KRESGE WAY, STE 207, LOUISVILLE, KY 40207-4637
(502) 893-0220
(502) 893-0563
Mailing address
PO BOX 950296, LOUISVILLE, KY 40295-0296
(502) 893-0220
(502) 893-0563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
207RG0100X
KY
207RG0100X
Gastroenterology Physician
Primary
24686
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64246861
—
KY
Enumeration date
06/20/2005
Last updated
08/26/2014
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