Individual
DR. MICHAEL R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 15TH ST NW STE 207A, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Mailing address
98 15TH ST NW STE 207A, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101256059
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101256059
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101256059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861674160
—
VA
05
—
1912973595
—
VA
05
—
7100409190
—
KY
01
—
P01487168
RAILROAD MEDICARE
VA
Enumeration date
02/24/2006
Last updated
07/21/2022
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