Individual
FABIOLA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 E 14 MILE RD, WARREN, MI 48092-4369
(586) 274-3400
Mailing address
4600 E 14 MILE RD, WARREN, MI 48092-4369
(586) 274-3400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601013079
MI
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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