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Individual

AYSE P CEMEROGLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 MICHIGAN ST NE, STE.101, GRAND RAPIDS, MI 49503-2550
(616) 391-3933
(616) 391-8853
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
4301064015
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558407189
GROUP NPI
MI
01
3504111831
BCBSM
MI
05
4384346
MI
Enumeration date
01/24/2006
Last updated
01/27/2012
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