person
Jeffery Green, MD
Family Medicine Physician in Fairmont, Minnesota
NPI 1215911904

Jeffery Green is a Family Medicine Physician based in Fairmont, MN. Jeffery Green practices in Fairmont, MN and has the professional credentials of MD. The NPI Number for Jeffery Green is 1215911904 and holds a License No. 42651 (Minnesota).

The current practice location address for Jeffery Green is 800 Medical Center Dr, Fairmont, MN and can be reached out via phone at 507-238-8555.

Location: 800 Medical Center Dr, Fairmont, MN, 56031-4575
person
Provider Profile Details
NPI Number
1215911904
Provider Name
Jeffery Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Medical Center Dr, Fairmont, MN, 56031-4575
Phone Number
507-238-8555
Fax Number
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01-13052 01 MN MEDICA
150697 05 FM
007R5GR 01 MN BCBS
3153445 05 MN
398640300 05 MN
A037 01 MN CHAMPUS
MH9041024627 01 MN PPO
1053638 01 MN ARAZ
007R5GR 01 MN BCBS/MEDICARE SUPPLEMENT
007R5GR 05 MN
20227 01 MN SIOUX VALLEY
HP30910 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
800 Medical Center Dr
City
State
Zip
56031-4575
Phone Number
507-238-8555
Fax Number
person
Provider Business Mailing Address Details
Address
800 Medical Center Dr
City
State
Zip
56031-4575
Phone Number
507-238-8555
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
42651 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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