| NPI | 1598953317 |
|---|---|
| Doing Business As | GREENWOOD PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS GRIESEMER Doctor, Member, Manager 317-884-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01053184A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001713) |
| 207Q00000X Family Medicine (Licence: IN 01068922A) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant (Licence: IN 10000648A) | |
| 363AM0700X Physician Assistant, Medical (Licence: IN 10002090A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005986A) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2017-07-26 |