Healthcare Provider Details

I. General information

NPI: 1811336068
Provider Name (Legal Business Name): MARLA JANELLE GREINER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. MARLA JANELLE WARDENBURG

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 30TH ST
DES MOINES IA
50310-5753
US

IV. Provider business mailing address

3600 30TH ST
DES MOINES IA
50310-5753
US

V. Phone/Fax

Practice location:
  • Phone: 515-699-5904
  • Fax:
Mailing address:
  • Phone: 515-699-5904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number82089
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD-52101
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: