Individual
ALEX JASON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8238
(248) 471-8250
Mailing address
26901 BEAUMONT BVD STE D, SOUTHFIELD, MI 48023-3849
(248) 471-8238
(248) 471-8250
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301047596
MI
Other
Enumeration date
06/13/2006
Last updated
01/18/2019
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