Individual
ERIC WILLIAM GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 CONNECTICUT AVE S, SARTELL, MN 56377
(320) 259-4100
(320) 259-8044
Mailing address
1901 CONNECTICUT AVE S, SARTELL, MN 56377
(320) 259-4100
(320) 259-8044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34822
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975508000
—
MN
Enumeration date
07/03/2006
Last updated
06/08/2020
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