Provider Demographics
NPI:1184721318
Name:DENNIS E MCGEATH
Entity type:Organization
Organization Name:DENNIS E MCGEATH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCGEATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-347-8382
Mailing Address - Street 1:345 N DIVISION RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-9416
Mailing Address - Country:US
Mailing Address - Phone:231-347-8382
Mailing Address - Fax:231-347-6628
Practice Address - Street 1:345 N DIVISION RD
Practice Address - Street 2:SUITE D
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-9416
Practice Address - Country:US
Practice Address - Phone:231-347-8382
Practice Address - Fax:231-347-6628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty