Organization
ALLISON GREEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON GREEN OTR (OWNER)
(734) 545-0027
Entity
Organization
Contact information
Practice address
7656 BEEBALM CT, DEXTER, MI 48130-9336
(734) 434-3545
Mailing address
7656 BEEBALM CT, DEXTER, MI 48130-9336
(734) 434-3545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201003689
MI
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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