Individual
MR. MYRON B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7758 JANERO COURT SOUTH, COTTAGE GROVE, MN 55016
(651) 459-5023
Mailing address
7758 JANERO COURT SOUTH, COTTAGE GROVE, MN 55016
(651) 459-5023
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6514595023
HOME HEALTH CARE
MN
Enumeration date
02/19/2008
Last updated
02/19/2008
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