Ileasa Green, DO is a student in an organized health care education training program in Minneapolis, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ileasa Green, DO NPI is 1528701075. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
420 DELAWARE STREET SE, MMC 292
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5589
The NPI 1528701075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/13/2022 and was last updated on 7/6/2023.