Individual
ETHAN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(612) 626-5775
Mailing address
2000 23RD ST S, SARTELL, MN 56377-4765
(320) 229-5120
(320) 200-3235
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
65460
MN
Other
Enumeration date
05/14/2015
Last updated
01/18/2024
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