Individual
JOSHUA DAVID GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11177 TAMPA AVE UNIT A, PORTER RANCH, CA 91326-2254
(818) 850-7129
(818) 850-7139
Mailing address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7795
(248) 967-7794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14056
CA
207P00000X
Emergency Medicine Physician
5101019374
MI
Other
Enumeration date
06/17/2011
Last updated
04/13/2022
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