Individual
KATHERINE A. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
156726
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
73290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101312
—
WI
Enumeration date
06/29/2010
Last updated
11/22/2021
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