Individual
DR. JONATHAN L GRIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 944-4500
Mailing address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 944-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01055700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228781
ANTHEM
—
01
—
080184245
RAILROAD MEDICARE
—
05
—
200371410A
—
IN
Enumeration date
07/21/2006
Last updated
03/21/2021
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