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

Ileasa Green, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528701075

Ileasa Green, DO is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

420 Delaware Street SE Mmc 292
Minneapolis, MN 55455
Phone: (612) 626-5589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1528701075
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESJuly 6, 2023
Certification dateJune 27, 2023
Mailing address420 Delaware Street Se, Mmc 292, Minneapolis, MN 55455

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