Individual
DR. BRENNA RAE ELLWEIN GREEN
Active
Individual
DR. BRENNA RAE ELLWEIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101015750
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO02243
TN
Other
Enumeration date
04/09/2007
Last updated
06/25/2020
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