Search › Michigan › 207Q00000X
George Mammo, MD, MS
NPI 1659808053 · on the registry since 2017
Practice
- Address
- 4420 E Davison St
Detroit, MI 48212 - Phone
- (313) 369-1500
- Organisation at this address
- E Davidson Rx Llc
Knight Prescriptions, Ltd
Great Lakes Family Medical Center Pllc
Great Lakes Family Medical Center PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 911 E 9 Mile Rd, Ferndale, MI
- 1044 N Francisco Ave, Chicago, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan