Individual
DR. JOEL ALLAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 456-5311
(616) 456-7955
Mailing address
1045 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 456-5311
(616) 456-7955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301088236
MI
Other
Enumeration date
04/23/2007
Last updated
01/05/2021
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