Individual
DR. IMAD MICHAEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
28000 JOY RD, LIVONIA, MI 48150-4137
(734) 513-8050
(734) 513-6357
Mailing address
28000 JOY RD, LIVONIA, MI 48150-4137
(734) 513-8050
(734) 513-6357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301047531
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
4301047531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346230182
—
MI
01
—
700H273300
BCBSM
MI
Enumeration date
10/24/2005
Last updated
12/17/2013
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