Individual provider · Type 1 NPI

Randall William Green, MD

Specialist · Grand Rapids, MI

NPI number 1467400333 Active

Practice location

4070 Lake Dr SE
Grand Rapids, MI 49546-8294

Call (616) 774-8200 Map

Fax (616) 774-0304

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XRG030071 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1467400333

Randall William Green, MD's National Provider Identifier is 1467400333, issued on May 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 7, 2023.