TRAVIS RAY GREEN

BLOOMINGTON, MN
NPI1134693518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  12938)
Enumeration Date2019-01-18
Last Update Date2023-10-18
Business Address
TRAVIS RAY GREEN PA-C
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone number: 952-767-4574
Mailing Address
TRAVIS RAY GREEN PA-C
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435-5435
Phone number: 952-767-4574
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