Organization
KATHRYN A GREEN MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN A GREEN MD (PRESIDENT)
(920) 452-1810
Entity
Organization
Contact information
Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-1810
Mailing address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-1810
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/30/2014
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