Individual
DR. MICHAEL EDWARD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
133 SYLVAN ST, DANVERS, MA 01923
(978) 777-0918
(978) 774-7521
Mailing address
133 SYLVAN ST, DANVERS, MA 01923
(978) 777-0918
(978) 774-7521
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
451
MA
111N00000X
Chiropractor
482
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304584
TUFTS
MA
01
—
Y35285
BC BS
MA
05
—
Y35285
—
MA
Enumeration date
09/14/2005
Last updated
06/30/2010
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