Individual
KRISTOPHER MAHLON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2600
(248) 849-2610
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2600
(248) 849-2610
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301117075
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301117075
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME102425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000341300
—
FL
01
—
P01281024
RR MEDICARE
FL
Enumeration date
04/13/2006
Last updated
04/26/2019
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