Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301047021 | MI |
N | 111NI0900X | Internist | 4301047021 | MI |
Y | 207RG0300X | Geriatric Medicine | 4301047021 | MI |
NPI | 1104863190 |
---|---|
Provider Name | Gerald E Turlo |
First Address | Troy, MI 48083-1138 |
Second Address | Detroit, MI 48201-2153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 04/02/2016 |