Michael Green, D.C.

NPI #1760794515 in Boise, Idaho

Provider Information

NPI Number: 1760794515
Entity Type: Individual
Name: Michael Green, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 9, 2010
Last Updated: Jul 9, 2010

Practice Location

Address: 5101 BEL AIR ST
City: Boise
State: Idaho
ZIP Code: 83705-2774
Phone: (208) 386-9525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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