Healthcare Provider Details

I. General information

NPI: 1588809222
Provider Name (Legal Business Name): TUREK AND BAZLEY SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N4117 LADWIG RD
MONROE WI
53566-8937
US

IV. Provider business mailing address

3920 13TH AVE E SUITE 6
HIBBING MN
55746-3675
US

V. Phone/Fax

Practice location:
  • Phone: 608-214-8124
  • Fax:
Mailing address:
  • Phone: 218-263-7540
  • Fax: 888-680-4314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN A BAZLEY
Title or Position: CO-OWNER
Credential: M.D.
Phone: 608-214-8124