Individual
GEORGE C WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 GULL RD, STE 120, KALAMAZOO, MI 49048-1650
(269) 343-0377
(269) 343-4744
Mailing address
1535 GULL RD, STE 120, KALAMAZOO, MI 49048-1650
(269) 343-0377
(269) 343-4744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301032275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2836356
—
MI
Enumeration date
10/03/2005
Last updated
06/20/2008
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