Individual
DR. HENRY B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1021 SANDUSKY ST STE A, PERRYSBURG, OH 43551
(419) 666-5299
(419) 666-9762
Mailing address
1021 SANDUSKY ST STE A, PERRYSBURG, OH 43551-3120
(419) 666-5299
(419) 666-9762
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123806
—
OH
01
—
0697670001
DURABLE MEDICAL EQUIPMENT
OH
Enumeration date
07/20/2005
Last updated
09/11/2018
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