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Individual

MICHAEL ALLEN GREENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7840 W 165TH ST STE 210, OVERLAND PARK, KS 66223
(913) 373-2230
(913) 373-0999
Mailing address
7840 W 165TH ST STE 210, OVERLAND PARK, KS 66223-2993
(913) 373-2230
(913) 373-0999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0426184
KS
208000000X
Pediatrics Physician
0426184
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100316520A
KS
Enumeration date
05/17/2006
Last updated
06/27/2018
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