Individual
ALLISON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
406 KENT ST, PORTLAND, MI 48875-1707
(517) 647-4166
(517) 647-2473
Mailing address
8454 CARRIAGE LN, PORTLAND, MI 48875-9805
(517) 449-7106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704307008
MI
Other
Enumeration date
06/22/2020
Last updated
05/05/2021
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