IndividualActive
Glenn Green, MD
NPI 1407943673 · Pediatric Otolaryngology Physician · Ann Arbor, MI
Provider details
- NPI number
- 1407943673
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301057683 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
Approximate (ZIP-level) locationGet directions
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2019-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.