Individual
CARMEN R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 EAST EISENHOWER PARKWAY, SUITE 100, ANN ARBOR, MI 48108-5721
(734) 763-5459
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301052368
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301052368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2905220
—
MI
Enumeration date
07/17/2006
Last updated
10/21/2019
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