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Individual

ELVIA A GREATHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
415 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 333-9650
(812) 333-9680
Mailing address
415 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 333-9650
(812) 333-9680

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01064349
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200890250
IN
Enumeration date
09/21/2006
Last updated
01/11/2010
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