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Individual

DR. OMAR A TURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4190 24TH AVE, SUITE 210, FORT GRATIOT, MI 48059
(810) 216-1901
(810) 216-1701
Mailing address
4190 24TH AVE, STE # 210, FORT GRATIOT, MI 48059-3882
(810) 216-1901
(810) 216-1701

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301080768
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000391367
ANTHEM
OH
01
1308205442
BCBS OF MICHIGAN
MI
05
2650715
OH
Enumeration date
03/14/2006
Last updated
01/11/2017
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