Organization
GREENE MEMORIAL HOSPITAL SERVICES, LLC
Active
Parent organization
GREENE MEMORIAL HOSPITAL SERVICES, LLC
Other names
David J Ettinger, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE MEMORIAL HOSPITAL SERVICES, LLC
Authorized official
DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
(937) 558-3222
Entity
Organization
Contact information
Practice address
3359 KEMP RD, SUITE 200, BEAVERCREEK, OH 45431-2565
(937) 429-7307
(937) 429-7320
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639630
—
OH
Enumeration date
11/22/2011
Last updated
11/22/2011
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