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Individual

MR. MICHAEL H. GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8505 TANGLEWOOD SQUARE, CHAGRIN FALLS, OH 44023
(440) 543-5186
(440) 543-5546
Mailing address
8505 TANGLEWOOD SQUARE, CHAGRIN FALLS, OH 44023
(440) 543-5186
(440) 543-5546

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
28019642
OH
152W00000X
Optometrist
3029T143
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0260140
OH
Enumeration date
05/13/2006
Last updated
06/22/2009
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