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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MYRON B GREEN

Active

MR. MYRON B GREEN is a Community Health Worker healthcare provider located in COTTAGE GROVE, Minnesota. NPI 1609044122 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · COTTAGE GROVE, MN

Registration Details

NPI Number
1609044122
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2008 (18.525281539686 yrs)
Last Updated
Feb 19, 2008

Practice Information

Address
7758 JANERO COURT SOUTH
COTTAGE GROVE, MN, 55016
Browse MN providers · Browse ZIP 55016
Phone
6514595023
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in COTTAGE GROVE, MN

Name Credential NPI
MS. LISA HAUCK 1124296637
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.