Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. George Dominic Mammo, MD, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659808053

Dr. George Dominic Mammo, MD, MS is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Detroit, MI

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 1044 N Francisco Ave, Chicago, IL 60622-2743 — (773) 360-6346
  • 911 E 9 Mile Rd, Ferndale, MI 48220-1934 — (248) 336-4000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301501687 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659808053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedMay 16, 2017
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

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