Healthcare Provider Details

I. General information

NPI: 1942474150
Provider Name (Legal Business Name): JANET H. GREENHUT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E LIBERTY ST 203
ANN ARBOR MI
48104-2157
US

IV. Provider business mailing address

103 E LIBERTY ST 203
ANN ARBOR MI
48104-2157
US

V. Phone/Fax

Practice location:
  • Phone: 734-302-0230
  • Fax: 734-864-7346
Mailing address:
  • Phone: 734-302-0230
  • Fax: 734-864-7346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number4301041691
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: