Organization
NEUROSLEEP CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR A TURK MD (OWNER)
(810) 216-1901
Entity
Organization
Contact information
Practice address
4190 24TH AVE, SUITE 210, FORT GRATIOT, MI 48059-3882
(810) 216-1901
(810) 216-1701
Mailing address
4190 24TH AVE,, STE # 210, FORT GRATIOT, MI 48059
(810) 216-1901
(810) 216-1701
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
OT080768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270H237980
BCBS OF MI
MI
05
—
4850523
—
MI
Enumeration date
09/01/2006
Last updated
01/11/2017
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