Individual
EMILY ELIZABETH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
(651) 696-5000
Mailing address
2724 EMERSON AVE S, MINNEAPOLIS, MN 55408-1232
(612) 868-5041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363A00000X
MN
Other
Enumeration date
04/09/2008
Last updated
11/05/2010
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