Provider Demographics
NPI:1386611143
Name:RABEY, GEORGE H (PA)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:H
Last Name:RABEY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 N 124TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53222-3106
Mailing Address - Country:US
Mailing Address - Phone:414-778-6200
Mailing Address - Fax:414-778-6222
Practice Address - Street 1:3300 N 124TH ST
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53222-3106
Practice Address - Country:US
Practice Address - Phone:414-778-6200
Practice Address - Fax:414-778-6222
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI771-023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine