Individual
MANJU GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29250 SUNRIDGE, FARMINGTON HILLS, MI 48334-4012
(586) 291-8660
Mailing address
29250 SUNRIDGE, FARMINGTON HILLS, MI 48334-4012
(586) 291-8660
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704253592
MI
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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