Individual
DR. OGUBAY TEKIE MESMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 N ST JOSEPH AVE, NILES, MI 49120
(269) 684-6777
(269) 683-5384
Mailing address
24 N SAINT JOSEPH AVE, STE F1, NILES, MI 49120-2263
(269) 684-6777
(269) 683-5384
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301079120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0601110531
BCBS
—
05
—
4396875
—
MI
01
—
P00057496
RAILROAD MEDICARE PIN
MI
Enumeration date
03/23/2006
Last updated
02/21/2020
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