Search › Minnesota › 163W00000X
Michele Green
NPI 1801285028 · on the registry since 2015
Practice
- Address
- 11039 Lexington Dr
Eden Prairie, MN 55344 - Phone
- (414) 704-0314
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163W00000X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota