Individual
DR. MOHAMED S ISMAEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-5390
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07100013600
QUAL CHOICE
AR
05
—
166135001
—
AR
01
—
P00428986
RAILROAD MEDICARE
AR
Enumeration date
09/10/2007
Last updated
04/16/2026
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