Healthcare Provider Details

I. General information

NPI: 1437133071
Provider Name (Legal Business Name): H GEORGE LEVY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2246 N MONROE ST
MONROE MI
48162-4254
US

IV. Provider business mailing address

PO BOX 2154
MONROE MI
48161-7154
US

V. Phone/Fax

Practice location:
  • Phone: 734-243-0220
  • Fax: 734-243-4269
Mailing address:
  • Phone: 734-243-0220
  • Fax: 734-243-4269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. H GEORGE LEVY
Title or Position: OWNER
Credential: M.D.
Phone: 734-243-0220