Linda Marie Green D.O.

NPI 1013947829 - Internal Medicine - 207R00000X

NPI Details
NPI 1013947829
Gender Female
Enumeration Date 07/04/2006
Last Updated 12/28/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
4727 SAINT ANTOINE ST
SUITE 211
DETROIT MI, 48201-1461, US
Phone (313) 833-5032
Fax (313) 833-7851
Business Location
19910 CANTERBURY RD
DETROIT MI, 48221-1811, US
Phone (313) 863-0053
Fax (313) 833-7851
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101009317
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According to our database, Dr. Linda Marie Green D.O. NPI is 1013947829, taxonomy code is 207R00000X and license number is 5101009317, license state is located at Michigan. Linda Marie Green D.O. physically located at 4727 Saint Antoine St, Detroit MI, 48201-1461. NPI Number Linda Marie Green D.O. has the Individual type.

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1013947829 NPI number is provided on an as is basis without warranty of any kind. 1013947829 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Marie Green D.O. are for informational purposes only.