Individual
MR. CHRISTOPHER GEORGE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP, PHARM.D.
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 578-4015
Mailing address
12750 HICKORY RIDGE RD, PLAIN CITY, OH 43064-9760
(614) 738-3232
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
03-2-23015
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0026954
OH
Other
Enumeration date
06/22/2005
Last updated
12/16/2022
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