Individual
DR. GARY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4116 UNIVERSITY AVE, DES MOINES, IA 50311-3533
(515) 274-1518
(515) 274-6916
Mailing address
4116 UNIVERSITY AVE, DES MOINES, IA 50311-3533
(515) 274-1518
(515) 274-6916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17981
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086553
—
IA
Enumeration date
07/07/2005
Last updated
11/02/2007
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