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ETHAN GREEN
Nurse Practitioner
NPI: 1609547702IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
4704318670(MI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 300 68TH ST SE
GRAND RAPIDS, MI 49548 - Phone
- (616) 455-5000
Quick Facts
- NPI
- 1609547702
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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