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Individual

MICHAEL K GREENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11637 TERRACE DR, STE 100, WALDORF, MD 20602-3706
(301) 870-7287
(301) 870-0687
Mailing address
11637 TERRACE DR, STE 100, WALDORF, MD 20602-3706
(301) 870-7287
(301) 870-0687

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D48136
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
743302600
MD
Enumeration date
08/23/2005
Last updated
10/02/2012
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