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Individual

MICHAEL A. GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 828-5396
(360) 828-5455
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396
(360) 828-5455

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61035741
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2156409
WA
Enumeration date
12/15/2005
Last updated
08/13/2020
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