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Individual

AHMET DERVISH

Active
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Individual

AHMET DERVISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
33794
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050080452
RAILROAD
WI
05
104365449
MI
05
32021400
WI
Enumeration date
06/28/2006
Last updated
08/29/2008
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