Whalio Doctors

NPI 1225416944

Ethan Greenberg, MD

Practitioner Ophthalmology Physician Fridley, MN

Practice location

Address
6341 University Ave NE, Fridley, MN 55432-4946
Phone
(612) 626-5775
Mailing address
2000 23rd St S, Sartell, MN 56377-4765

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 65460 (MN)

Registry record

NPI
1225416944
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 May 2015
Record last updated
18 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.