Individual
PHILLIP M GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-2298
(269) 552-2201
Mailing address
5943 STADIUM DR, STE 4, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301044591
MI
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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