Individual
JESSICA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 E WARWICK DR STE D, ALMA, MI 48801-1083
(989) 466-5486
(989) 466-5023
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101021250
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2014
Last updated
07/18/2022
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