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Individual

EDWARD GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 EAST FIRST STREET, MORRIS, MN 56267-0660
(320) 589-1313
(320) 589-3533
Mailing address
PO BOX 660, 400 EAST FIRST STREET, MORRIS, MN 56267-0660
(320) 589-1313
(320) 589-3533

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35398
MN

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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