=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124148812
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TURKE AND THOMASHOW PEDIATRICS PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2007
-----------------------------------------------------
Last Update Date | 07/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7444 DEXTER ANN ARBOR RD STE A
-----------------------------------------------------
City | DEXTER
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48130-1468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-408-4182
-----------------------------------------------------
Fax | 734-253-2565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7444 DEXTER ANN ARBOR RD STE A
-----------------------------------------------------
City | DEXTER
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48130-1468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-408-4182
-----------------------------------------------------
Fax | 734-253-2565
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRES
-----------------------------------------------------
Name | PAUL WILLIAM TURKE
-----------------------------------------------------
Credential | MD, PHD
-----------------------------------------------------
Telephone | 734-408-4182
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------