Individual
MR. JOHN ROBERT GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Z00000X
VA MEDICAL CENTER
PA
01
—
225000000X
VA MEDICAL CENTER
PA
Enumeration date
02/24/2009
Last updated
02/24/2009
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