Individual
METE ALTUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1204 W 10TH ST, METROPOLIS, IL 62960-2433
(618) 524-2284
Mailing address
1204 W 10TH ST, PO BOX 866, METROPOLIS, IL 62960-2433
(618) 524-2284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-044718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364141780001
—
IL
Enumeration date
06/01/2009
Last updated
03/23/2011
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