Individual
JILLIAN MARGARET GREENBURG
Active
Individual
JILLIAN MARGARET GREENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
50.008215RX
OH
363A00000X
Physician Assistant
50.008215RX
OH
363A00000X
Physician Assistant
MA064541
PA
363A00000X
Physician Assistant
OA006487
PA
Other
Enumeration date
06/14/2023
Last updated
09/11/2023
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