Individual
DR. CHRISTOPHER CANFIELD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD, FAAFS
Contact information
Practice address
50723 HARBOUR VIEW DR S, MED:FOR, INC, NEW BALTIMORE, MI 48047-4347
(586) 876-5680
(586) 725-4865
Mailing address
50723 HARBOUR VIEW DR S, NEW BALTIMORE, MI 48047-4347
(586) 876-5680
(586) 725-4865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301087789
MI
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
4301087789
MI
209800000X
Legal Medicine (M.D./D.O.) Physician
4301087789
MI
209800000X
Legal Medicine (M.D./D.O.) Physician
79-166
NM
209800000X
Legal Medicine (M.D./D.O.) Physician
MD12109
DC
Other
Enumeration date
09/15/2007
Last updated
11/01/2014
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