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1508861915
MARC A. GREEN
SIOUX FALLS, SD
NPI
1508861915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: SD 1320)
Enumeration Date
2005-06-14
Last Update Date
2008-05-08
Business Address
MARC A. GREEN MD
1310 W 22ND ST
SIOUX FALLS, SD 57105-1501
Phone number: 605-328-8600
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Mailing Address
MARC A. GREEN MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-9556
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