PAMELA A GEORGESON DO

Allergy and Immunology

Chesterfield, Michigan

Provider NPI: 1619972486

Provider Information:
 PAMELA A GEORGESON DO


Practice Location:
30170 23 MILE RD  CHESTERFIELD, MI 48047 US
Tel: 586-949-5900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MI	5101008579

Other Provider Identifiers:

Issuer	Number	State	Type
BCBSM	5500466	MI	01
MCARE	C2983	MI	01
AETNA	4326232	MI	01
BCBSM OTHER IDENTIFIER	PG008579	MI	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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