Individual provider · Type 1 NPI

George T. Poullette, MD

Family Medicine Physician · Pleasant Prairie, WI

NPI number 1104933415 Active

Practice location

10256 Old Green Bay Road
Pleasant Prairie, WI 53158-2815

Call (262) 551-4200 Map

Fax (262) 551-4947

Mailing address

6308 8th Ave
Kenosha, WI 53143-5031

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X30486 (WI)

Family Medicine Physician: 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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About NPI 1104933415

George T. Poullette, MD's National Provider Identifier is 1104933415, issued on Aug 23, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Mar 7, 2023.