Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dorothea Jean Green, PA-C

Individual provider Physician Assistant · NPI 1518261403

Mrs. Dorothea Jean Green, PA-C is a Physician Assistant in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5511 Hammersmith Dr
West Bloomfield, MI 48322-1455
Phone: (248) 788-3426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PERMANENT5601001159 (MI)
Physician Assistant Taxonomy 363A00000X · Licence L1610148 (MI)

Record details

NPI number1518261403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJanuary 6, 2011

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