NPI 1508861915 · live from the CMS NPI Registry
Marc A. Green, MD
Dermatology in Sioux Falls, SD. National Provider Identifier 1508861915, active.
NPI record
| NPI | 1508861915 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1310 W 22nd St, Sioux Falls, SD 57105 |
| Practice phone | 605-328-8600 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | June 14, 2005 |
| Last updated | May 8, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 1320 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.