Individual
KATHRYN ROSE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 EDGEWOOD DR NE, SAINT MICHAEL, MN 55376-4588
(763) 744-4000
(763) 744-4124
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72532
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2021
Last updated
11/08/2024
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