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Individual

CAROLINE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2450 RIVERSIDE AVE S0, CENTER FOR PEDIATRIC BLOOD AND MARROW TRANSPLATION, MINNEAPOLIS, MN 55454-1400
(612) 365-6777
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
(612) 676-8992

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
32474
IA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
49726
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0174292
IA
01
45387
WELLMARK BCBS
IA
Enumeration date
09/23/2005
Last updated
03/26/2013
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