Leonard J Green, MD

NPI #1639299738 in Portland, Indiana

Provider Information

NPI Number: 1639299738
Entity Type: Individual
Name: Leonard J Green, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 30, 2007
Last Updated: Nov 15, 2010

Practice Location

Address: 428 W VOTAW ST
Address 2: SUITE A
City: Portland
State: Indiana
ZIP Code: 47371-1302
Phone: (260) 726-8822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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