| NPI Details | |
|---|---|
| NPI | 1013114552 |
| Enumeration Date | 06/28/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | GEORGE ERVING GEORGE |
| Position | PRESIDENT OWNER |
| Phone | (269) 687-9607 |
| Fax | |
| Practice Location | |
|---|---|
| 1 S 5TH ST NILES MI, 49120-2710, US |
|
| Phone | (269) 687-9607 |
| Fax | |
| Business Location | |
|---|---|
| 732 S 11TH ST SUITE 100 #242 NILES MI, 49120-3368, US |
|
| Phone | (269) 687-9607 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QP2300X |
| License State | Michigan |
| License Number | 4301034140 |
| Remove 1013114552 NPI Number | |
According to our database, George E. Drake, M.d., P.c. NPI is 1013114552, taxonomy code is 261QP2300X and license number is 4301034140, license state is located at Michigan. George E. Drake, M.d., P.c. physically located at 1 S 5th St, Niles MI, 49120-2710. NPI Number 1033115704 has the healthcare provider type.
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1013114552 NPI number is provided on an as is basis without warranty of any kind. 1013114552 is maintained by the National Plan & Provider Enumeration System. The contents of George E. Drake, M.d., P.c. are for informational purposes only.
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