Individual
DR. WILLIAM HARRY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 MERCURY CT, MUKWONAGO, WI 53149-1714
(262) 363-0960
Mailing address
103 MERCURY CT, MUKWONAGO, WI 53149-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27142
WI
Other
Enumeration date
02/09/2007
Last updated
07/01/2011
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