Individual
KATHRIENA LOREANNA GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 780-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 780-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22994
MN
208600000X
Surgery Physician
35.142549
OH
208600000X
Surgery Physician
Primary
83356
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467980
—
OH
Enumeration date
04/26/2016
Last updated
04/07/2025
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