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Individual
DR. MICHAEL MATTHEW GREEN
Active
Individual
DR. MICHAEL MATTHEW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
BP10031712
TX
2081P0010X
Pediatric Rehabilitation Medicine Physician
2011017820
MO
2081P0010X
Pediatric Rehabilitation Medicine Physician
8728465-1204
UT
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
O-1557
ID
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
8728465-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
10/28/2008
Last updated
09/22/2026
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