Individual
MICHAEL D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
188 W NORTHERN LIGHTS BLVD STE 100, ANCHORAGE, AK 99503-3902
(907) 562-2002
(907) 278-8052
Mailing address
PO BOX 3991, SEATTLE, WA 98124-3991
(907) 562-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT206199
PA
2085R0001X
Radiation Oncology Physician
Primary
226692
AK
2085R0001X
Radiation Oncology Physician
Primary
4301117473
MI
Other
Enumeration date
05/14/2014
Last updated
02/17/2026
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