Individual
GEORGINA MARIE PIKE CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3302
(734) 539-5080
Mailing address
1540 E HOSPITAL DR, ANN ARBOR, MI 48109-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351048955
MI
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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