Individual
BRUCE E GREENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 WISCONSIN AVE, BELOIT, WI 53511
(608) 362-8822
(608) 362-4697
Mailing address
403 WISCONSIN AVE, BELOIT, WI 53511
(608) 362-8822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WI14545
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPS54219
WPS
WI
Enumeration date
12/27/2006
Last updated
07/08/2007
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