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

Dr. Michael Green, MD

Individual provider Family Medicine Physician · NPI 1134105778

Dr. Michael Green, MD is a Family Medicine Physician in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 Grand Ave S
Minneapolis, MN 55409-1539
Phone: (612) 501-1185
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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 31175 (MN)

Record details

NPI number1134105778
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 15, 2005
Last updated in NPPESJuly 8, 2007
Mailing address4043 Pleasant Ave, Minneapolis, MN 55409-1544

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