| Green | |
|
2925 Ingersoll Ave Ste 102 Des Moines IA 50312-4035 | |
| (515) 996-6860 | |
| Not Available |
| Full Name | Green |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2925 Ingersoll Ave Ste 102, Des Moines, Iowa |
| Authorized Official Name and Position | Edward Schneiders (OWNER) |
| Authorized Official Contact | 5152056006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green 2925 Ingersoll Ave Ste 102 Des Moines IA 50312-4035 Ph: (515) 996-6860 | Green 2925 Ingersoll Ave Ste 102 Des Moines IA 50312-4035 Ph: (515) 996-6860 |
| NPI Number | 1295573178 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295573178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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