Individual
DIANE L. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 14500 HALL ROAD, STERLING HEIGHTS, MI 48313
(586) 247-2700
(586) 247-2691
Mailing address
HENRY FORD HEALTH SYSTEM, 14500 HALL ROAD, STERLING HEIGHTS, MI 48313
(586) 247-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
326226911
—
MI
01
—
DS010642
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/17/2006
Last updated
11/13/2014
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