George, Wisam
George, Wisam is an sole proprietor health care provider with primary practice located at 2300 Haggerty Rd Suite 2100, West Bloomfield MI 48323-2184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. George, Wisam can be contacted via phone (248) 624-7246.Contact Information
Primary practice address
2300 Haggerty Rd Suite 2100
West Bloomfield MI 48323-2184
Phone: (248) 624-7246
Fax: (248) 624-2597
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 5315031019 | Michigan |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | L1130895 | Michigan |
Profile Details
NPI number | 1790989317 |
---|---|
LBN Legal business name | George, Wisam |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2007 |
Last updated | Sep 21st, 2023 - about last year |
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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