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NPI Code Detail

MEDICARE: MICHELLE LYNN GREEN DP-C

MEDICARE: MICHELLE LYNN GREEN DP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1326981390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LYNN GREEN DP-C
Provider Business Mailing Address
First Line : 1044 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-238-0483
Fax Number : 810-239-5518
Provider Business Practice Location Address
First Line : 1044 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-238-0483
Fax Number : 810-239-5518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ MICHELLE LYNN GREEN DP-C” Practice Location

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