Individual
JODI L GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6285 E.5 RD, BARK RIVER, MI 49807-9544
(906) 280-8142
Mailing address
6285 E.5 RD, BARK RIVER, MI 49807-9544
(906) 280-8142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013039
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144817
RR MEDICARE GROUP#CC2139
MI
05
—
4140903
—
MI
Enumeration date
08/07/2006
Last updated
06/23/2025
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