| Harvey J. Green,m.d.,pa | |
|
825 Nicollet Mall Suite 1645 Minneapolis MN 55402-2606 | |
| (612) 339-7904 | |
| Not Available |
| Full Name | Harvey J. Green,m.d.,pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Harvey Joel Green (PRESIDENT) |
| Authorized Official Contact | 61213397904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey J. Green,m.d.,pa 825 Nicollet Mall Suite 1645 Minneapolis MN 55402-2606 Ph: (612) 339-7904 | Harvey J. Green,m.d.,pa 825 Nicollet Mall Suite 1645 Minneapolis MN 55402-2606 Ph: (612) 339-7904 |
| NPI Number | 1124207337 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 7214011824 |
|---|---|
| Medicare Enrollment ID | O20080220000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124207337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 27598 (Minnesota) | Primary |
| Provider Name | Harvey J Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518023829 PECOS PAC ID: 4587748199 Enrollment ID: I20080220000718 |
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