Individual
DR. MICHAEL PAUL GREENAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2900 TYLER RD, CHRISTIANSBURG, VA 24073-6374
(540) 731-7311
(540) 731-7377
Mailing address
2900 TYLER RD, CHRISTIANSBURG, VA 24073-6374
(540) 731-7311
(540) 731-7377
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102-203679
VA
2084P0800X
Psychiatry Physician
0116019686
VA
2084P0800X
Psychiatry Physician
OS015524
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVB891A
MEDICARE PTAN
VA
Enumeration date
07/10/2007
Last updated
12/10/2020
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