Individual
DR. DANIEL MICHAEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MAIL STOP 735, MEMPHIS, TN 38105-3678
(901) 595-5915
Mailing address
262 DANNY THOMAS PL, MAIL STOP 735, MEMPHIS, TN 38105-3678
(901) 595-5915
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD0000042775
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5442221
—
TN
Enumeration date
06/24/2005
Last updated
09/08/2011
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