MEDICARE: DR. GEORGE C APOSTOLOU M.D.

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	35895	MN
2	208M00000X	Hospitalist Physician	35895	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033169123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE C APOSTOLOU M.D.

Provider Business Mailing Address
First Line	:	915 E 1ST ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55805-2107
Country	:	US
Telephone Number	:	218-249-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 W SUPERIOR ST
Second Line	:	STE. 220
City	:	DULUTH
State	:	MN
Zip	:	55802-1701
Country	:	US
Telephone Number	:	218-249-3500
Fax Number	:	218-249-3555

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	12/04/2020

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