Organization
HENRY B GREEN JR DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY B GREEN DPM (OWNER)
(419) 666-5299
Entity
Organization
Contact information
Practice address
1021 SANDUSKY ST STE A, PERRYSBURG, OH 43551
(419) 666-5299
(419) 666-9762
Mailing address
1021 SANDUSKY ST STE A, PERRYSBURG, OH 43551-3120
(419) 666-5299
(419) 666-7258
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107060
—
OH
Enumeration date
05/30/2007
Last updated
09/11/2018
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