ALEX JONATHAN GREEN

GREEN BAY, WI
NPI1417610270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  197-17)
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
ALEX JONATHAN GREEN CAA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3605
Mailing Address
ALEX JONATHAN GREEN CAA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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