# W MICHAEL GREEN, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willam M Green, MD Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063662310
- **Authorized official:** DR. WILLIAM MICHAEL GREEN M.D. (PRESIDENT)
- **Authorized official phone:** (805) 482-6233

## Contact information

- **Practice address:** 2309 ANTONIO AVE, PATHOLOGY DEPARTMENT, CAMARILLO, CA 93010-1414
- **Practice address phone:** (805) 389-5878
- **Practice address fax:** (805) 389-5883
- **Mailing address:** PO BOX 986, CAMARILLO, CA 93011-0986
- **Mailing address phone:** (805) 482-6233
- **Mailing address fax:** (805) 389-5883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2008