Individual
JOEL THOMAS GREATTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
213 S FERKEL ST, COLUMBIA, IL 62236-2121
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2021046561
MO
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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