DOROTHEA JEAN GREEN

WEST BLOOMFIELD, MI
NPI1518261403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  permanent5601001159)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  L1610148)
Enumeration Date2011-01-06
Last Update Date2011-01-06
Business Address
Mrs. DOROTHEA JEAN GREEN PA-c
5511 HAMMERSMITH DR
WEST BLOOMFIELD, MI 48322-1455
Phone number: 248-788-3426
Mailing Address
Mrs. DOROTHEA JEAN GREEN PA-c
5511 HAMMERSMITH DR
WEST BLOOMFIELD, MI 48322-1455
Phone number: 248-788-3426