Individual
MATTHEW MICHAEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1202 W OAK ST, GREENVILLE, MI 48838-2155
(616) 754-4685
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704279709
MI
Other
Enumeration date
12/28/2021
Last updated
04/06/2022
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