Individual
GEORGE L. FIGACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HARRINGTON ST, RADIOLOGY DEPT, MOUNT CLEMENS, MI 48043-2920
(586) 493-8098
Mailing address
1159 E MICHIGAN AVE, YPSILANTI, MI 48198-5807
(248) 370-8980
(248) 276-0274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301046206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310E011330
BCBS GROUP PIN
MI
01
—
4301046206
STATE LICENSE NUMBER
MI
01
—
CI8050
MEDICARE RR GROUP PIN
MI
Enumeration date
08/25/2006
Last updated
02/21/2008
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