Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN BLACK GEORGE, MD PHD
ActiveNeurology · DETROIT, MI
Registration Details
- NPI Number
- 1255378774
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2006 (19.887584526655 yrs)
- Last Updated
- Aug 3, 2016
- Licenses
-
4301068940 (MI)4301068940 (MI)
Practice Information
- Address
-
4201 ST ANTOINE STE 8A & 8BUNIVERSITY HEALTH CENTERDETROIT, MI, 482012153Browse MI providers · Browse ZIP 48201
- Phone
- 3137454275
- Fax
- 3137454468
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Clinical Neurophysiology
Other Neurology Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. SHAILAJA GADDAM | M.D. | 1316933971 |
| DR. VIRGINIA SKIBA | MD | 1346226883 |
| KHALIL M NASRALLAH | MD | 1619923455 |
| JAMES FRANKLIN SELWA | MD | 1457398455 |
| ROBERT PHILIP LISAK | MD | 1235176835 |
| JUN LI | BM, PHD | 1972540672 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.