Provider Demographics
NPI:1912755638
Name:WOLBER, GREG LOUIS
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:LOUIS
Last Name:WOLBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2591 GALLIA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-4220
Mailing Address - Country:US
Mailing Address - Phone:513-482-1368
Mailing Address - Fax:
Practice Address - Street 1:2591 GALLIA DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-4220
Practice Address - Country:US
Practice Address - Phone:513-482-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty