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1134105778
MICHAEL GREEN
MINNEAPOLIS, MN
NPI
1134105778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 31175)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL GREEN M.D.
4100 GRAND AVE S
MINNEAPOLIS, MN 55409-1539
Phone number: 612-501-1185
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Mailing Address
Dr. MICHAEL GREEN M.D.
4043 PLEASANT AVE
MINNEAPOLIS, MN 55409-1544
Phone number: 612-823-6921
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