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Individual
ELLEN WALFORD GREEN
Active
Individual
ELLEN WALFORD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207RT0003X
Transplant Hepatology Physician
Primary
87762
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2023-01815
NC
390200000X
Student in an Organized Health Care Education/Training Program
PG205825
OR
390200000X
Student in an Organized Health Care Education/Training Program
RS2022-0794
NM
Other
Enumeration date
04/04/2019
Last updated
07/05/2026
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