Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derrick Lamont Green, MD

Individual provider Vascular Surgery Physician · NPI 1184897043

Dr. Derrick Lamont Green, MD is a Vascular Surgery Physician in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone: (612) 273-3000
Fax: (612) 273-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5440 26th Ave S, Minneapolis, MN 55417-1926 — (612) 267-3679

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 53899 (MN)

Record details

NPI number1184897043
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2008
Last updated in NPPESMarch 17, 2018

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