Individual
DR. MARK G GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
526 W GENESEE ST, UNIT #3, FRANKENMUTH, MI 48734-1701
(989) 652-7344
(989) 652-7355
Mailing address
526 W GENESEE ST, UNIT #3, FRANKENMUTH, MI 48734-1701
(989) 652-7344
(989) 652-7355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MG4301070378
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007540068
AETNA
—
01
—
080730251
BCBS
—
Enumeration date
08/30/2006
Last updated
07/22/2014
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