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Individual

MICHAEL AARON GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
10900 W 44TH AVE, SUITE #200, WHEAT RIDGE, CO 80033-2742
(303) 379-9371
(303) 284-4082
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(720) 923-1239
(303) 284-4082

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29371
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01293711
CO
Enumeration date
07/05/2006
Last updated
09/18/2019
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