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Individual

DR. BRIDGET ANNE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D,

Contact information

Practice address
6150 NORTHLAND DRIVE, ROCKFORD, MI 49341
(616) 942-9343
(616) 942-2538
Mailing address
6150 NORTHLAND DRIVE, ROCKFORD, MI 49341
(616) 942-9343
(616) 942-2538

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301083630
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2166108
MI
Enumeration date
05/29/2007
Last updated
07/18/2024
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