Individual
ADAM M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11225 ULYSSES ST NE, BLAINE, MN 55434-4261
(763) 302-2600
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1346732492
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
76159
MN
Other
Enumeration date
06/05/2018
Last updated
06/10/2024
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