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1184897043
DERRICK LAMONT GREEN
MINNEAPOLIS, MN
NPI
1184897043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: MN 53899)
Enumeration Date
2008-04-10
Last Update Date
2018-03-17
Business Address
Dr. DERRICK LAMONT GREEN M.D.
500 HARVARD ST SE
MINNEAPOLIS, MN 55455-0363
Phone number: 612-273-3000
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Mailing Address
Dr. DERRICK LAMONT GREEN M.D.
909 FULTON ST SE
MINNEAPOLIS, MN 55455-4800
Phone number: 612-672-7422
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