Individual
DR. TINA SUE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5407 EXCELSIOR BLVD, SUITE D, ST LOUIS PARK, MN 55416
(952) 920-9247
(952) 922-3480
Mailing address
5407 EXCELSIOR BLVD, SUITE D, ST LOUIS PARK, MN 55416
(952) 920-9247
(952) 922-3480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1442
WA
111N00000X
Chiropractor
1715
MN
111N00000X
Chiropractor
2045
OK
171100000X
Acupuncturist
Primary
632
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413616R
B/C B/S
MN
01
—
4486621
MEDICA
MN
Enumeration date
09/21/2006
Last updated
09/11/2025
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