Individual
MR. ASIF ISHAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9244 LAPEER ROAD, DAVISON, MI 48423
(810) 653-2111
(810) 653-8506
Mailing address
9244 LAPEER ROAD, DAVISON, MI 48423
(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
—
098S094
HEALTH PLUS
—
01
—
1102S10260
BLUE CARE NETWORK
—
05
—
4S20448
—
MI
01
—
AI062301
BCBSM BLUE CROSS
MI
Enumeration date
01/24/2006
Last updated
12/29/2009
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