Randall Green, MD

NPI 1467400333 · on the registry since 2006 · sole proprietor

Practice

Address: 4070 Lake Dr Se
Grand Rapids, MI 49546
Phone: (616) 774-8200
Fax: (616) 774-0304
Organisation at this address: Audrey Mitchell, Llc
Mark S Obrien Md Plc
Sharon Depcinski, Llc
Kenneth W Post Md Plc
Randall W. Green Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan