FRED C GREEN

FARGO, ND
NPI1154330413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  01357)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. FRED C GREEN do
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
Mailing Address
Dr. FRED C GREEN do
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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