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Dr. George T Poullette, MD
Family Medicine Physician in Pleasant Prairie, Wisconsin
NPI 1104933415

George T Poullette is a Family Medicine Physician based in Kenosha, WI. George T Poullette practices in Pleasant Prairie, WI and has the professional credentials of MD. The NPI Number for George T Poullette is 1104933415 and holds a License No. 30486 (Wisconsin).

The current practice location address for George T Poullette is 10256 Old Green Bay Road, Pleasant Prairie, WI and can be reached out via phone at 262-551-4200 and via fax at 262-551-4947.

Location: 10256 Old Green Bay Road, Pleasant Prairie, WI, 53143-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104933415
Provider Name
George T Poullette
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10256 Old Green Bay Road, Pleasant Prairie, WI, 53143-5031
Phone Number
262-551-4200
Fax Number
262-551-4947
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30486-20 01 WI WI LICENSE
institution
Provider Business Practice Location Address Details
Address
10256 Old Green Bay Road
City
Pleasant Prairie
State
Wisconsin
Zip
53158-2815
Phone Number
262-551-4200
Fax Number
262-551-4947
person
Provider Business Mailing Address Details
Address
10256 Old Green Bay Road
City
Pleasant Prairie
State
Wisconsin
Zip
53158-2815
Phone Number
262-551-4200
Fax Number
262-551-4947
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
30486 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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