| NPI | 1306885793 |
|---|---|
| Doing Business As | GREEN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL TAILLARD Director, Finance & Operations 330-344-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-01-22 |