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Individual

DR. LINDA MARIE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4727 SAINT ANTOINE ST, SUITE 211, DETROIT, MI 48201-1461
(313) 833-5032
(313) 833-7851
Mailing address
19910 CANTERBURY RD, DETROIT, MI 48221-1811
(313) 863-0053
(313) 833-7851

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101009317
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114750368
MI
Enumeration date
07/04/2006
Last updated
12/28/2009
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