Provider Demographics
NPI:1356433841
Name:TURKISH, VERNA JEAN (MD)
Entity type:Individual
Prefix:
First Name:VERNA
Middle Name:JEAN
Last Name:TURKISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35240 NANKIN BLVD
Mailing Address - Street 2:BLVD 401
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-7218
Mailing Address - Country:US
Mailing Address - Phone:734-427-3636
Mailing Address - Fax:734-427-1483
Practice Address - Street 1:35240 NANKIN BLVD
Practice Address - Street 2:BLVD 401
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-7218
Practice Address - Country:US
Practice Address - Phone:734-427-3636
Practice Address - Fax:734-427-1483
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006757208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE39809Medicare UPIN