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

Individual provider Specialist · NPI 1467400333

Dr. Randall William Green, MD is a Specialist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
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

4070 Lake Dr SE
Grand Rapids, MI 49546-8294
Phone: (616) 774-8200
Fax: (616) 774-0304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence RG030071 (MI)

Record details

NPI number1467400333
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 7, 2023

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