T G GREEN DO SC

BROOKFIELD, WI
NPI1619279346
Entity TypeOrganization
Authorized ContactTHEODORE G GREEN
Physician
262-781-1530
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  16986)
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
T G GREEN DO SC
13760 W CAPITOL DR
BROOKFIELD, WI 53005-2407
Phone number: 262-781-1530
Mailing Address
T G GREEN DO SC
13760 W CAPITOL DR
BROOKFIELD, WI 53005-2407
Phone number: 262-781-1530
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