SearchMichigan1041C0700X

Gwendolyn Green

NPI 1922020916 · on the registry since 2006 · sole proprietor

Practice

Address
3131 Arndt St
Detroit, MI 48207
Phone
(313) 586-3033

Additional practice sites

  • 18212 Wisconsin St, Detroit, MI
  • 11825 Dexter Ave, Detroit, MI

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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