Whalio Doctors

NPI 1285747378

James Edward Green, AAPA

Practitioner Anesthesiologist Assistant Grand Rapids, MI

Practice location

Address
3333 Evergreen Dr NE, Grand Rapids, MI 49525-9493
Phone
(616) 364-4200
Fax
(616) 364-7347

Registered specialties (2)

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 263 (MI)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601001816 (MI)

Registry record

NPI
1285747378
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Aug 2006
Record last updated
4 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.