Individual
DR. RICHARD ALAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5200 WILLSON RD, SUITE 308, EDINA, MN 55424-1332
(952) 920-3215
(952) 920-0728
Mailing address
5200 WILLSON RD, SUITE 308, EDINA, MN 55424-1332
(952) 920-3215
(952) 920-0728
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388
HSM PREFERRED ONE
MN
01
—
05966GR
BLUECROSS BLUESHIELD
MN
Enumeration date
12/06/2006
Last updated
07/09/2007
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