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Individual

ISLAM K QUASEM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1414 W FAIR AVE, STE 201, MARQUETTE, MI 49855-5406
(906) 225-4500
(906) 225-3919
Mailing address
1414 N MCCLELLAN AVE, MARQUETTE, MI 49855-2546
(906) 228-6552

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067445
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110E26038
BCBSM
MI
05
4397317
MI
Enumeration date
06/13/2005
Last updated
07/08/2007
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