Individual
ANDREW GEORGIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301094549
MI
207X00000X
Orthopaedic Surgery Physician
Primary
59901
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400266677
MEDICARE PTAN
MN
Enumeration date
06/23/2009
Last updated
06/07/2019
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