Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 44712 | OH |
NPI | 1144368317 |
---|---|
Provider Name | Dr. Giesele Robinson Greene |
First Address | Brooklyn, OH 44144-3270 |
Second Address | Cleveland, OH 44115-3221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0493229 | (05) | OH |