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General NPI Number Information
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NPI Number | 1992757405
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Entity Type | Individual
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Provider Name | MARK H GREENBERG MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3950 HOLLYWOOD RD STE 288
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9159
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Country | US
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Telephone | 269-408-0990
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Fax | 269-408-1602
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Provider Business Mailing Address
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Address Line | 3241 SW BOBALINK WAY
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City | PALM CITY
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State | FL
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Zip | 34990-2616
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Country | US
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Telephone | 772-349-8116
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | EMC0007457
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 39092
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License Number State | SC
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