Whalio Doctors

NPI 1952344400

Alex Jason Green, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Farmington Hills, MI

Practice location

Address
28050 Grand River Ave, Farmington Hills, MI 48336-5919
Phone
(248) 471-8238
Fax
(248) 471-8250
Mailing address
26901 Beaumont Bvd STE D, Southfield, MI 48023-3849

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 4301047596 (MI)

Registry record

NPI
1952344400
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jun 2006
Record last updated
18 Jan 2019

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.