Individual
MR. GEORGE B GORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1166
(269) 344-4458
Mailing address
1020 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1166
(269) 344-4458
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301033943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301033943
MEDICAL LICENSE NUMBER
MI
Enumeration date
05/09/2008
Last updated
05/09/2008
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