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Individual

JAMES W GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 E 1ST ST, MORRIS, MN 56267-1408
(320) 589-1313
(320) 589-3533
Mailing address
400 E 1ST ST, PO BOX 660, MORRIS, MN 56267-1408
(320) 589-1313
(320) 589-3533

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21752
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276777500
MN
Enumeration date
04/03/2006
Last updated
05/04/2009
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