Individual
DR. DIANE MARIE GREILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 524-4665
Mailing address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 524-4665
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
78231
MA
208D00000X
General Practice Physician
Primary
DR.0046701
CO
208D00000X
General Practice Physician
NO5740
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754431
—
AK
Enumeration date
05/02/2006
Last updated
02/27/2025
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