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Individual

DR. WESLEY C GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 INSIGHT AVE, O FALLON, IL 62269-2146
(618) 738-0337
Mailing address
705 INSIGHT AVE, O FALLON, IL 62269-2146
(618) 391-1660
(618) 861-6003

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036174940
IL
207W00000X
Ophthalmology Physician
Primary
2017006915
MO

Other

Enumeration date
05/01/2013
Last updated
12/11/2025
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