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Eric R Green, MD
Pediatrics Physician in Holland, Michigan
NPI 1194798777

Eric R Green is a Pediatrics Physician based in Holland, MI. Eric R Green practices in Holland, MI and has the professional credentials of MD. The NPI Number for Eric R Green is 1194798777 and holds a License No. 4301080025 (Michigan).

The current practice location address for Eric R Green is 926 S Washington Ave, Holland, MI and can be reached out via phone at 616-393-0166. You can also correspond with Eric R Green through the mailing address at 1990 LEISURE BLVD, HOLLAND, MI - 49424-9076 (mailing address contact number: ).

Location: 926 S Washington Ave, Holland, MI, 49424-9076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194798777
Provider Name
Eric R Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
926 S Washington Ave, Holland, MI, 49424-9076
Phone Number
616-393-0166
Fax Number
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301080025 01 MI PHYSICIAN LICENSE
4409089 TYPE 10 05 MI
5315010080 01 MI BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
926 S Washington Ave
City
Holland
State
Michigan
Zip
49423-7725
Phone Number
616-393-0166
Fax Number
person
Provider Business Mailing Address Details
Address
1990 Leisure Blvd
City
Holland
State
Michigan
Zip
49424-9076
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301080025 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
4301080025 (Michigan)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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