# W MICHAEL GREEN, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wm Michael Green MD Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376601393
- **Authorized official:** WM MICHAEL GREEN MD (PRESIDENT)
- **Authorized official phone:** (805) 988-2644

## Contact information

- **Practice address:** 1600 N ROSE AVE, OXNARD, CA 93030-3722
- **Practice address phone:** (805) 988-2644
- **Mailing address:** PO BOX 25420, VENTURA, CA 93002-2277
- **Mailing address phone:** (805) 650-5910
- **Mailing address fax:** (805) 650-5972

## 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:** 12/04/2006
- **Last updated:** 06/19/2008