Individual
DR. MICHAEL S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 UNION ST, SUITE 4, EASTERN MAINE HEALTHCARE MALL, BANGOR, ME 04401
(207) 973-8030
(207) 973-6005
Mailing address
915 UNION ST., SUITE 4, EASTERN MAINE HEALTHCARE MALL, BANGOR, ME 04401
(207) 973-8030
(207) 973-6005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
015688
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010211501
—
ME
Enumeration date
08/01/2006
Last updated
05/28/2014
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