Individual
DR. MICHAEL ALLEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 LEAVENWORTH ST, SUITE 101, OMAHA, NE 68102-3215
(402) 717-0420
(402) 717-6042
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 398-6254
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24487
NE
Other
Enumeration date
12/16/2006
Last updated
01/21/2015
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