Organization
GREENSPRING STATION ENDOSCOPY LLC
Active
Other names
Green Spring Station Endoscopy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDEL M WAINNER (VICE PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
10751 FALLS RD, SUITE 425, LUTHERVILLE, MD 21093-4517
(410) 583-2760
(410) 583-2759
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(410) 583-2760
(410) 583-2759
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1184R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402767100
—
MD
Enumeration date
02/20/2006
Last updated
07/28/2020
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