Individual
DR. ALAN F GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2950 E JEFFERSON AVE, DETROIT, MI 48207-4208
(313) 567-3551
Mailing address
PO BOX 252643, W BLOOMFIELD, MI 48325-2643
(313) 478-0073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AG046145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2799655
—
MI
Enumeration date
11/01/2006
Last updated
10/04/2012
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