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1124075957
PHILLIP M GREEN
KALAMAZOO, MI
NPI
1124075957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MI 4301044591)
Enumeration Date
2006-05-27
Last Update Date
2007-07-08
Business Address
-- PHILLIP M GREEN MD
3025 GULL RD
KALAMAZOO, MI 49048-1281
Phone number: 269-552-2298
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Mailing Address
-- PHILLIP M GREEN MD
5943 STADIUM DR STE 4
KALAMAZOO, MI 49009-3016
Phone number:
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