George C Xakellis JR., M.D.

NPI #1164418885 in Tomah, Wisconsin

Provider Information

NPI Number: 1164418885
Entity Type: Individual
Name: George C Xakellis JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 27, 2005
Last Updated: Apr 3, 2013

Practice Location

Address: 500 EAST VETERAN STREET
City: Tomah
State: Wisconsin
ZIP Code: 54660-1016
Phone: (608) 372-1792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X

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