Individual
DR. MITCHELL WAYNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
Mailing address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007695
IA
111N00000X
Chiropractor
038012402
IL
111N00000X
Chiropractor
Primary
08002727A
IN
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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