SPENCER D GREENDYKE MD LLC
Ambulatory Health at Grand Mill Ln, Coeur D Alene, ID

License number
Idaho M9110
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: SPENCER D GREENDYKE MD
Title: PHYSICIAN
Phone: (208) 277-1060
Address
Address
3318 N Grand Mill Ln, Coeur D Alene, ID 83814
National Provider ID: 1558468439
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SPENCER D GREENDYKE MD LLC at bizstanding.com

SPENCER D. GREENDYKE, MD, PLLC

3318 N Grand Ml Ln, Coeur d Alene, ID 83814

Industry:
Medical Doctor's Office
Doing business as:
Spencer D Greendyke MD LLC
Registration:
Mar 24, 2005
State ID:
W37947
Business type:
LIMITED LIABILITY COMPANY
Managers:
Spencer D. Greendyke (Medical Doctor, Principal),Kellie Hall Manager, inactive
Agent:
Gail L Greendyke,3318 N Grand Ml Ln, Coeur d Alene, ID 83814 (Physical)

Ambulatory Health licenses in Idaho










Other Doctors licenses in Idaho