Individual
NICHOLAS AUSTIN GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15945 CLAYTON RD STE 210, BALLWIN, MO 63011-2491
(368) 931-3606
(636) 893-1362
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(636) 893-1360
(636) 893-1362
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2011005769
MO
Other
Enumeration date
06/27/2008
Last updated
02/01/2024
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