Individual
DR. JACK BUCHANEN GREENE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 E 34TH ST, HIBBING, MN 55746-2909
(218) 362-7100
Mailing address
1120 E 34TH ST, HIBBING, MN 55746-2909
(218) 362-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23335
MN
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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