Individual
DR. ERIC DAVID GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
32255 NORTHWESTERN HWY STE 115, FARMINGTON HILLS, MI 48334-1538
(248) 587-2300
(248) 945-0492
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101017853
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101017853
MI
207RI0011X
Interventional Cardiology Physician
5101017853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689812489
—
MI
01
—
MI4989487
MEDICARE PTAN
MI
Enumeration date
02/02/2009
Last updated
11/27/2018
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