Troy A Green, PAC
Physician Assistant in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1184604530
StatusActive
Last updated in NPPESDec 11, 2014
Details
- NPI
- 1184604530
- Entity type
- Individual (NPI-1)
- Name
- Troy A Green
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Dec 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002289 | MI | Yes |
Practice location
5629 Stadium DrKalamazoo, MI 49009-1952
Phone 269-372-5701 · Fax 269-372-5702
Mailing address
5629 Stadium DrKalamazoo, MI 49009-1952
Phone 269-372-5701 · Fax 269-372-5702
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All 179 Physician Assistant providers in Kalamazoo · All 7,754 providers in Kalamazoo
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