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Individual

MR. GREGG A. GINSBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1455 HIGHWAY 61, STE B, FESTUS, MO 63028-4109
(636) 931-4744
(636) 931-4739
Mailing address
1455 HIGHWAY 61, STE B, FESTUS, MO 63028-4109
(636) 931-4744
(636) 931-4739

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MO111296
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020034244
RAILROAD MEDICARE
MO
05
208475012
MO
Enumeration date
06/09/2005
Last updated
11/06/2015
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