Individual
JOHN WILLOCK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 615-2141
(740) 615-2142
Mailing address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 615-2141
(740) 615-2142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.081269
OH
208M00000X
Hospitalist Physician
Primary
35081269
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411947
—
OH
Enumeration date
11/18/2005
Last updated
01/05/2022
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