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Individual

DR. ALBERT MICHAEL GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2665 HADDAM RD, CLEVELAND, OH 44120-1531
(216) 531-5317
(216) 371-8833
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
(216) 479-5541
(216) 479-5554

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-050675
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0935411
OH
05
GR0872061
OH
Enumeration date
08/30/2006
Last updated
06/04/2013
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