Individual
GRANT M GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(540) 562-5700
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101287095
VA
207Q00000X
Family Medicine Physician
4301070222
MI
207Q00000X
Family Medicine Physician
MD459423
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4225724
—
MI
Enumeration date
10/10/2006
Last updated
11/06/2025
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