Individual
GREGORY G GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
376 APPLE AVE, SUITE 307, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 720-3295
Mailing address
376 APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 720-3295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301074048
MI
Other
Enumeration date
10/14/2005
Last updated
08/30/2016
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