Individual
CASEY NICHOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1023 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8372
(231) 389-6982
(231) 216-7648
Mailing address
1023 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8372
(231) 389-6982
(231) 216-7648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007872
MI
Other
Enumeration date
07/13/2016
Last updated
06/18/2026
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