Individual
DR. GEORGE E OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E ELLIS RD, NORTON SHORES, MI 49441-5622
(231) 798-9840
(231) 798-9740
Mailing address
800 E ELLIS RD, NORTON SHORES, MI 49441-5622
(231) 798-9840
(231) 798-9740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301052054
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000006801
—
MA
Enumeration date
08/02/2005
Last updated
01/04/2012
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