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Individual

MEHMET ISMAILOGLU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
614 JENNINGS LNDG, BATTLE CREEK, MI 49015-3528
(269) 274-3142
Mailing address
614 JENNINGS LNDG, BATTLE CREEK, MI 49015-3528
(269) 274-3142

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207R00000X
Internal Medicine Physician
Primary
4301056504
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004626216
AETNA
MI
01
1101304082
BCBS
MI
05
3336390
MI
Enumeration date
04/10/2006
Last updated
06/30/2021
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