Individual
KATIE LYNN GREINER
Active
Individual
KATIE LYNN GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3150-035
WI
152W00000X
Optometrist
Primary
5944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972732436
—
WI
05
—
3124541
—
OH
01
—
60990
DEAN HEALTH INSUCANCE
WI
Enumeration date
07/06/2009
Last updated
09/21/2016
Update your record
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