Individual
JENNIFER ROSE GREULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
613 DORBETT ST, JASPER, IN 47546-2615
(812) 481-2229
(812) 482-3993
Mailing address
613 DORBETT STREET, JASPER, IN 47546-2615
(812) 481-2229
(812) 482-3993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01092649A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300092354
—
IN
Enumeration date
04/05/2020
Last updated
07/31/2024
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