Derrick Lamont Green in Minneapolis - Vascular Surgery

Derrick Lamont Green - NPI 1184897043

Derrick Lamont Green is a Vascular Surgery in Minneapolis, Minnesota. Derrick Lamont Green practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Derrick Lamont Green is 1184897043. The last update date is 2018-03-17.

Derrick Lamont Green's current location address is 909 Fulton St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126727422. The mailing address for Derrick Lamont Green is 909 Fulton St Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrick Lamont Green
Address 909 Fulton St Se, Minneapolis, Minnesota
Phone Number 6126727422
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184897043
Provider Enumeration Date 2008-04-10
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 909 Fulton St Se
City Minneapolis
State Minnesota (MN)
Post Code 554554800
Phone Number 6126727422
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 53899
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Derrick Lamont Green

What is the Derrick Lamont Green's unique identification number?

The Derrick Lamont Green has been assigned the NPI (National Provider Identifier) Number 1184897043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Derrick Lamont Green's physical address?

The Derrick Lamont Green is physically located at 909 Fulton St Se, in the city of Minneapolis, MN, with the postal code 554554800.

What is Derrick Lamont Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Derrick Lamont Green is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.

When did Derrick Lamont Green receive its 1184897043 assignment?

The Derrick Lamont Green was assigned its 1184897043 on 2008-04-10, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Derrick Lamont Green, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Derrick Lamont Green, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-17.

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