MEDICARE: DR. WILLIAM H. GEORGE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301042836	MI

General Provider Information

NPI Number	:	1205839131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM H. GEORGE MD

Provider Business Mailing Address
First Line	:	550 MUNSON AVE
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686
Country	:	US
Telephone Number	:	231-935-6520
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 MUNSON AVE
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686
Country	:	US
Telephone Number	:	231-935-6520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/14/2019

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