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Stephan A Green
Student in an Organized Health Care Education/Training Program in Appleton, Wisconsin
NPI 1275093320

Stephan A Green is a Student in an Organized Health Care Education/Training Program based in Appleton, WI. Stephan A Green practices in Appleton, WI. The NPI Number for Stephan A Green is 1275093320 and holds a License No. (Wisconsin).

The current practice location address for Stephan A Green is 229 S Morrison St, Appleton, WI and can be reached out via phone at 920-832-2783.

Location: 229 S Morrison St, Appleton, WI, 54911-5725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275093320
Provider Name
Stephan A Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
229 S Morrison St, Appleton, WI, 54911-5725
Phone Number
920-832-2783
Fax Number
Provider Enumeration Date
03/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
229 S Morrison St
City
Appleton
State
Wisconsin
Zip
54911-5725
Phone Number
920-832-2783
Fax Number
person
Provider Business Mailing Address Details
Address
229 S Morrison St
City
Appleton
State
Wisconsin
Zip
54911-5725
Phone Number
920-832-2783
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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