Individual
MARK D GREENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6029 WALNUT GROVE RD, SUITE 300, MEMPHIS, TN 38120-2112
(901) 767-8158
(901) 767-1555
Mailing address
6029 WALNUT GROVE RD, SUITE 300, MEMPHIS, TN 38120-2112
(901) 767-8158
(901) 767-1555
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
16815
MS
208800000X
Urology Physician
Primary
28010
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123339
—
MS
05
—
131430001
—
AR
01
—
3601198
CIGNA
—
05
—
3809034
—
TN
01
—
7120129
AETNA
—
01
—
P00399926
RR MEDICARE
—
Enumeration date
08/19/2006
Last updated
11/20/2008
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