Doctor Name: | SERHAT ERZURUM |
NPI Number: | 1548671860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35062569 |
Business Practice Address: | 7206 Market St Ste A Boardman, OH - 445124562 |
Business Phone Number: | 3307263379 |
Business Fax Number: | 3307268683 |
Mailing Address: | Po Box 1239, TROY |
State: | MI |
Postal Code: | 480991239 |
Phone Number: | 2488246600 |
Fax Number: | 8556186655 |
NPI Enumeration Date: | 05/09/2014 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35062569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |