Individual
DR. GEORGE B GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080-1190
(586) 498-0440
(586) 498-0401
Mailing address
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080-1190
(586) 498-0440
(586) 498-0401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301036503
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925255
—
MI
Enumeration date
02/09/2006
Last updated
12/01/2020
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