Michael Green M.D.

NPI 1134105778 - Family Medicine - 207Q00000X

NPI Details
NPI 1134105778
Gender Male
Enumeration Date 12/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4100 GRAND AVE S
MINNEAPOLIS MN, 55409-1539, US
Phone (612) 501-1185
Fax
Business Location
4043 PLEASANT AVE
MINNEAPOLIS MN, 55409-1544, US
Phone (612) 823-6921
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 31175
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According to our database, Dr. Michael Green M.D. NPI is 1134105778, taxonomy code is 207Q00000X and license number is 31175, license state is located at Minnesota. Michael Green M.D. physically located at 4100 Grand Ave S, Minneapolis MN, 55409-1539. NPI Number Michael Green M.D. has the Individual type.

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1134105778 NPI number is provided on an as is basis without warranty of any kind. 1134105778 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Green M.D. are for informational purposes only.