Provider Demographics
NPI:1942444807
Name:GREIWE, JUSTIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:C
Last Name:GREIWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4665 E GALBRAITH RD FL 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2783
Mailing Address - Country:US
Mailing Address - Phone:513-931-0775
Mailing Address - Fax:513-931-0779
Practice Address - Street 1:4665 E GALBRAITH RD FL 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2783
Practice Address - Country:US
Practice Address - Phone:513-931-0775
Practice Address - Fax:513-931-0779
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.09897207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1811996549OtherGROUP NPI