Individual
IAN M GREENBERG
Active
Individual
IAN M GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125071387
IL
207RG0100X
Gastroenterology Physician
4971345
ID
207RG0100X
Gastroenterology Physician
Primary
BP10069838
TX
Other
Enumeration date
06/29/2017
Last updated
06/06/2025
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