MEDICARE: MR. GURCAN UREMEK PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501005260	MI
2	225100000X	Physical Therapist	PT 0010915	FL
3	225100000X	Physical Therapist	070-008536	IL

General Provider Information

NPI Number	:	1457600702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GURCAN UREMEK PT

Provider Business Mailing Address
First Line	:	3119 SETTLERS PASS
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-1193
Country	:	US
Telephone Number	:	989-799-1452
Fax Number	:	989-799-1452

Provider Business Practice Location Address
First Line	:	3119 SETTLERS PASS
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-1193
Country	:	US
Telephone Number	:	989-799-1452
Fax Number	:	989-799-1452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2012
Last Update Date	:	09/02/2012

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