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Dr. George Dominic Mammo, MD,MS
Family Medicine Physician in Detroit, Michigan
NPI 1659808053

George Dominic Mammo is a Family Medicine Physician based in Southfield, MI. George Dominic Mammo practices in Detroit, MI and has the professional credentials of MD,MS. The NPI Number for George Dominic Mammo is 1659808053 and holds a License No. (Michigan).

The current practice location address for George Dominic Mammo is 4420 E Davison St, Detroit, MI and can be reached out via phone at 313-369-1500.

Location: 4420 E Davison St, Detroit, MI, 48037-3790
person
Provider Profile Details
NPI Number
1659808053
Provider Name
George Dominic Mammo
Credential
MD,MS
Provider Entity Type
Individual
Gender
Male
Address
4420 E Davison St, Detroit, MI, 48037-3790
Phone Number
313-369-1500
Fax Number
Provider Enumeration Date
05/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301501687 01 MI MI STATE LIC
institution
Provider Business Practice Location Address Details
Address
4420 E Davison St
City
State
Zip
48212-1744
Phone Number
313-369-1500
Fax Number
person
Provider Business Mailing Address Details
Address
4420 E Davison St
City
State
Zip
48212-1744
Phone Number
313-369-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
4301501687 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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