Individual
GEORGE ANESTIS FOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12750 SAINT FRANCIS DR STE 320, CROWN POINT, IN 46307-0264
(219) 662-0077
(219) 662-9496
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016681A
IN
363LF0000X
Family Nurse Practitioner
209.032321
IL
Other
Enumeration date
05/14/2025
Last updated
06/15/2026
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