Individual
KRISTINA E GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
44000 W 12 MILE RD, SUITE 111, NOVI, MI 48377-2644
(248) 347-8233
(248) 347-8174
Mailing address
44000 W 12 MILE RD, SUITE 111, NOVI, MI 48377-2644
(248) 347-8233
(248) 347-8174
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36003381
OH
213E00000X
Podiatrist
Primary
5901002628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0697670001
DURABLE MEDICAL EQUIPMENT
OH
05
—
2501804
—
OH
Enumeration date
07/19/2005
Last updated
02/28/2017
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