Shundiin Green

NPI #1043878739 in Fergus Falls, Minnesota

Provider Information

NPI Number: 1043878739
Entity Type: Individual
Name: Shundiin Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 29, 2019
Last Updated: May 29, 2019

Practice Location

Address: 1806 E FIR AVE STE 200
City: Fergus Falls
State: Minnesota
ZIP Code: 56537-3921
Phone: (218) 287-4338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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