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1396131124
MICHAEL JOHN-EDWARD GREEN
ROANOKE, VA
NPI
1396131124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0102205108)
Enumeration Date
2015-04-08
Last Update Date
2023-08-11
Business Address
MICHAEL JOHN-EDWARD GREEN
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
MICHAEL JOHN-EDWARD GREEN
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5352
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