Individual
DR. GEORGE S MANATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
(219) 864-2282
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01091756A
IN
2084P0800X
Psychiatry Physician
2015016129
MO
2084P0800X
Psychiatry Physician
67185
WI
Other
Enumeration date
07/13/2011
Last updated
03/25/2024
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