Dean, George A

Dean, George A is an individual health care provider with primary practice located at 18900 W Ten Mile Road , Southfield MI 48075-2669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dean, George A can be contacted via phone (248) 424-8340.

Contact Information

Primary practice address
18900 W Ten Mile Road Southfield MI 48075-2669
Phone: (248) 424-8340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X GD022523 Michigan

Profile Details

NPI number 1154394674
LBN Legal business name Dean, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154394674 NPPES
Michigan Other GD022523 BLUE CROSS LICENSE #
Michigan MEDICAID 104787949 BLUE CROSS LICENSE #

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