Individual
DR. GEORGE A DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18900 W TEN MILE ROAD, SOUTHFIELD, MI 48075-2669
(248) 424-8340
Mailing address
18900 W 10 MILE RD, SOUTHFIELD, MI 48075-2669
(248) 424-8340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GD022523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104787949
—
MI
01
—
GD022523
BLUE CROSS LICENSE #
MI
Enumeration date
02/08/2006
Last updated
08/13/2013
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