Individual
DR. GEORGE D POMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
833 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-2390
(616) 956-5585
(616) 956-1940
Mailing address
833 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-2390
(616) 956-5585
(616) 956-1940
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD14572
BCBS PIN NUMBER
MI
Enumeration date
06/02/2006
Last updated
03/10/2008
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