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Contact Information

KRISTINA E GREEN, DPM
44000 W 12 MILE RD
SUITE 111
NOVI, MI48377-2644
 Phone: 248-347-8233
 Fax: 248-347-8174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KRISTINA E GREEN · (Female)

NPI Number 1558360875
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/19/2005
Last updated 02/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901002628
  • OH License # 36003381
  • OH Medicaid 2501804
  • OH Other 0697670001 DURABLE MEDICAL EQUIPMENT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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