Individual
GEORGE A CANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.H.A.
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(207) 795-0111
(207) 753-7201
Mailing address
PO BOX 1241, SOUTH BEND, IN 46624-1241
(855) 691-9888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017481
ME
Other
Enumeration date
11/15/2006
Last updated
10/10/2016
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