Individual
ROBERT J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11477 E 12 MILE RD, WARREN, MI 48093-2678
(586) 751-0200
(586) 751-0414
Mailing address
11477 E 12 MILE RD, WARREN, MI 48093-2678
(586) 751-0200
(586) 751-0414
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001570
MI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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