Individual
KATHLEEN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6913 N MAIN ST STE 300, GRANGER, IN 46530-8039
(574) 647-1500
(574) 647-2567
Mailing address
34010 RAMBLE HILLS DR, FARMINGTON HILLS, MI 48331-4224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094072A
IN
Other
Enumeration date
04/12/2021
Last updated
08/12/2024
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