Individual
DR. HEATHER KRISTEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 222-5529
Mailing address
PO BOX 730544, CHICAGO, IL 60673-0001
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-171136
IL
207L00000X
Anesthesiology Physician
Primary
54749-20
WI
Other
Enumeration date
11/30/2008
Last updated
11/11/2024
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