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Individual

GEORGE HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6630 SUNBURST DR, PORTAGE, MI 49024
(269) 501-2606
(269) 585-5971
Mailing address
6630 SUNBURST DR, PORTAGE, MI 49024-1146
(269) 501-2606
(269) 585-5971

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301050924
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301050924
LICENSE
MI
Enumeration date
05/28/2014
Last updated
07/28/2015
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