Individual
DR. DAVID GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
274 E CHICAGO ST, COLDWATER, MI 49036-2041
(517) 279-4425
Mailing address
28 W CHICAGO ST, STE 2A, COLDWATER, MI 49036-1677
(517) 279-4425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301039875
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215988084
—
MI
01
—
1417961137
BCBSM - BVOPC
MI
01
—
1770597494
BCBSM - BVH
MI
05
—
4476161
—
MI
Enumeration date
05/15/2006
Last updated
08/09/2011
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