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1619279346
T G GREEN DO SC
BROOKFIELD, WI
NPI
1619279346
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Entity Type
Organization
Authorized Contact
THEODORE G GREEN
Physician
262-781-1530
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 16986)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
T G GREEN DO SC
13760 W CAPITOL DR
BROOKFIELD, WI 53005-2407
Phone number: 262-781-1530
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Mailing Address
T G GREEN DO SC
13760 W CAPITOL DR
BROOKFIELD, WI 53005-2407
Phone number: 262-781-1530
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