Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES JOSEPH GREEN, D.O.
Active Sole ProprietorDR. CHARLES JOSEPH GREEN, D.O. is a Sports Medicine (Orthopaedic) healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1528283926 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1528283926
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.382990656568 yrs)
- Last Updated
- Oct 11, 2023
- Licenses
-
5101016991 (MI)55576021 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400 UNION AVESHEBOYGAN, WI, 530818426Browse WI providers · Browse ZIP 53081
- Phone
- 9208282530
- Fax
- 9208282535
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.