Individual
MICHAEL W GREENSLAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2348
Mailing address
PO BOX 960, LUDINGTON, MI 49431-0960
(231) 480-4668
(231) 480-4736
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MG011039
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050054748
RAILROAD MEDICARE
—
01
—
0555300144
BLUE CROSS BLUE SHIELD
MI
05
—
3381279
—
MI
Enumeration date
11/14/2006
Last updated
11/15/2016
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