Organization
GEORGE J KELEN MD PLLC
Active
Other names
Lakeshore Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JOHN KELEN MD, FACC (OWNER)
(231) 845-7677
Entity
Organization
Contact information
Practice address
913 E LUDINGTON AVE, LUDINGTON, MI 49431-2437
(231) 845-7677
(231) 843-0773
Mailing address
913 E LUDINGTON AVE, LUDINGTON, MI 49431-2437
(231) 845-7677
(231) 843-0773
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301079843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4579580
—
MI
01
—
DA9989
RAILROAD MEDICARE
MI
Enumeration date
06/20/2008
Last updated
07/01/2008
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