Individual
MICHELE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11039 LEXINGTON DR, EDEN PRAIRIE, MN 55344-4913
(414) 704-0314
Mailing address
11039 LEXINGTON DR, EDEN PRAIRIE, MN 55344-4913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176329030
WI
163W00000X
Registered Nurse
Primary
2223898
MN
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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