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Individual

DR. GEORGE J CARLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1943 HOLLAND AVE, PORT HURON, MI 48060-1519
(810) 985-5700
(810) 985-5454
Mailing address
1943 HOLLAND AVE, PORT HURON, MI 48060-1519
(810) 985-5700
(810) 985-5454

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011673
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000159686704
UNITED HEALTHCARE
01
0157400345
BLUE CROSS/BLU SHIELD
MI
01
107951
CARE CHOICES HMO
MI
01
107951
PREFERRED CHOICES
01
33411
HEALTH PLAN OF MICHIGAN
MI
05
4463388
MI
01
5677068
AETNA PPO
MI
01
5787190002
CIGNA HEALTHCARE
MI
01
P00028140
MEDICARE TRAVELERS/RR
Enumeration date
07/27/2006
Last updated
07/08/2007
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