Individual
DR. JARED SCOTT GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8210
Mailing address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8210
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301093647
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
48756
WI
208100000X
Physical Medicine & Rehabilitation Physician
MD432290
PA
208100000X
Physical Medicine & Rehabilitation Physician
MT188491
PA
Other
Enumeration date
05/09/2006
Last updated
05/22/2020
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