Individual
DR. A SUSAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3475 BLOOMCREST DR, BLOOMFIELD HILLS, MI 48304-2518
(248) 227-1377
Mailing address
3475 BLOOMCREST DR, BLOOMFIELD HILLS, MI 48304-2518
(248) 227-1377
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301063281
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-0-63-44-31
BCBS
MI
Enumeration date
11/14/2006
Last updated
07/09/2007
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