Individual
GEORGE O KUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2458
(586) 263-2258
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2458
(586) 263-2258
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
062182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220016Y05
RR MCR
MI
05
—
3193199
—
MI
Enumeration date
06/27/2006
Last updated
02/14/2009
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