T G Green DO SC
T G Green DO SC is a Family Medicine Physician in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.
- Licensed in
- WI
- In the registry since
- 2010
Practice location Address checks out
13760 W Capitol DrBrookfield, WI 53005-2407
Phone: (262) 781-1530
Fax: (262) 781-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 16986 (WI) |
|---|
Record details
| NPI number | 1619279346 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Green — Physician · (262) 781-1530 |
| NPI enumerated | December 1, 2010 |
| Last updated in NPPES | December 1, 2010 |
| Mailing address | 13760 W Capitol Dr, Brookfield, WI 53005-2407 |
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