Individual
DR. JAY MELVIN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
29218 HIGHWAY 58 BLVD, RED WING, MN 55066-7407
(651) 388-8294
(651) 388-7461
Mailing address
29218 HIGHWAY 58 BLVD, RED WING, MN 55066-7407
(651) 388-8294
(651) 388-7461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1402
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230288
CHIROCARE
—
01
—
31174GR
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/07/2006
Last updated
07/08/2007
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