Individual
JANNA TERESE GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3220 NORTHERN PACIFIC ST, MISSOULA, MT 59808-1338
(406) 542-0191
Mailing address
5492 MEADOWVIEW DR S, FLORENCE, MT 59833-6630
(406) 273-2603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
742
MT
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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