Individual
MICHAEL ALLEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3994
(248) 849-5819
Mailing address
682 DORCHESTER DR APT 182, ROCHESTER HILLS, MI 48307-4038
(248) 379-1551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005492
MI
Other
Enumeration date
05/26/2009
Last updated
01/03/2019
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