Individual
DR. MICHAEL IAN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1240 PEPPER RD, JENKINTOWN, PA 19046-2932
(215) 886-9114
Mailing address
1240 PEPPER RD, JENKINTOWN, PA 19046-2932
(215) 886-9114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0471624000
INDEPENDENCE BLUE CROSS
PA
01
—
509985
HIGHMARK
PA
Enumeration date
01/31/2007
Last updated
07/08/2007
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