Organization
ASIF ISHAQUE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIF ISHAQUE MD (OWNER)
(810) 653-2111
Entity
Organization
Contact information
Practice address
9244 LAPEER RD, DAVISON, MI 48423-1757
(810) 653-2111
(810) 653-8506
Mailing address
9244 LAPEER RD, DAVISON, MI 48423-1757
(810) 653-2111
(810) 653-8506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301062301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE4884
MEDICARE RAILROAD
—
Enumeration date
03/16/2007
Last updated
12/30/2009
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