MR. Myron B Green

NPI #1609044122 in Cottage Grove, Minnesota

Provider Information

NPI Number: 1609044122
Entity Type: Individual
Name: MR. Myron B Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 7758 JANERO COURT SOUTH
City: Cottage Grove
State: Minnesota
ZIP Code: 55016
Phone: (651) 459-5023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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