George C-C Fogg in Grand Rapids - Pediatric Infectious Diseases
George C-C Fogg - NPI 1811901085
George C-C Fogg is a Pediatric Infectious Diseases in Grand Rapids, Michigan. George C-C Fogg practices all healthcare services and medical treatments related to Pediatric Infectious Diseases. The NPI Number for George C-C Fogg is 1811901085. The last update date is 2021-03-17.
George C-C Fogg's current location address is 330 Barclay Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163912313. The mailing address for George C-C Fogg is 330 Barclay Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George C-C Fogg |
|---|---|
| Address | 330 Barclay Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163912313 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1811901085 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2021-03-17 |
Provider Mailing Address Detail
| Address | 330 Barclay Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032556 |
| Phone Number | 6163912313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Infectious Diseases |
|---|---|
| Taxonomy | 2080P0208X |
| Licence No | 4301078543 |
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Definition: A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying disea |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4627622 | MI | -- |
Post Comment/ Review Below
What is the George C-C Fogg's unique identification number?
The George C-C Fogg has been assigned the NPI (National Provider Identifier) Number 1811901085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where George C-C Fogg's facilities are geographically located?
The facilities of George C-C Fogg are physically situated at the following location: 330 Barclay Ave Ne, Grand Rapids, MI, 495032556.
What is George C-C Fogg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for George C-C Fogg is Pediatric Infectious Diseases, and the corresponding taxonomy classification code for this specialized field is 2080P0208X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811901085 to George C-C Fogg?
The Centers for Medicare & Medicaid Services originally issued the 1811901085 to George C-C Fogg on 2006-07-27.
When was the information regarding George C-C Fogg most recently updated?
The details pertaining to the George C-C Fogg, including its address, specialty, and other relevant information, were last refreshed on 2021-03-17.
NPI Number: 1982607784
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