Individual
JEFFREY A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2171
Mailing address
6600 N ATWAHL DR, MILWAUKEE, WI 53209-3406
(414) 352-9256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30566
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080169564
RAILROAD MEDICARE
WI
01
—
12810
DEAN
WI
01
—
1538150958
BCBSWI
WI
05
—
1538150958
—
WI
01
—
300566
TOUCHPOINT
WI
05
—
31564700
—
WI
01
—
GREENJEF
MERCYCARE INSURANCE
WI
Enumeration date
11/03/2005
Last updated
07/27/2015
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