Organization
HARVEY J. GREEN,M.D.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY JOEL GREEN M.D. (PRESIDENT)
61213397904
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, SUITE 1645, MINNEAPOLIS, MN 55402-2606
(612) 339-7904
Mailing address
825 NICOLLET MALL, SUITE 1645, MINNEAPOLIS, MN 55402-2606
(612) 339-7904
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
27598
MN
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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