Provider Demographics
NPI:1710965686
Name:ACHETT, GEORGE V (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:V
Last Name:ACHETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6545 FRANCE AVE S
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2186
Mailing Address - Country:US
Mailing Address - Phone:952-920-9191
Mailing Address - Fax:952-920-0232
Practice Address - Street 1:6545 FRANCE AVE S
Practice Address - Street 2:SUITE 400
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2186
Practice Address - Country:US
Practice Address - Phone:952-920-9191
Practice Address - Fax:952-920-0232
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00044857208000000X
MN104392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics