Individual
HEIDI B GREEN
Active
Individual
HEIDI B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
41080
WI
207L00000X
Anesthesiology Physician
Primary
50958
CO
207L00000X
Anesthesiology Physician
MD166703
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500676017
—
OR
05
—
63356236
—
CO
Enumeration date
07/21/2008
Last updated
05/02/2022
Update your record
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