Provider Demographics
NPI: | 1215920418 |
---|---|
Name: | TURNER, JANET G (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | JANET |
Middle Name: | G |
Last Name: | TURNER |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | JANET |
Other - Middle Name: | G |
Other - Last Name: | DRAKE |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MD |
Mailing Address - Street 1: | 301 EXPLORER ST |
Mailing Address - Street 2: | |
Mailing Address - City: | GWINN |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 49841-2813 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 906-483-1050 |
Mailing Address - Fax: | 906-372-3230 |
Practice Address - Street 1: | 500 CAMPUS DR |
Practice Address - Street 2: | |
Practice Address - City: | HANCOCK |
Practice Address - State: | MI |
Practice Address - Zip Code: | 49930-1452 |
Practice Address - Country: | US |
Practice Address - Phone: | 906-483-1050 |
Practice Address - Fax: | 906-372-3230 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-08-24 |
Last Update Date: | 2025-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | MD31426 | 207VX0201X |
WI | 53214 | 207VX0201X |
MI | 4301513367 | 207VX0201X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207VX0201X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
WI | 3120306 | Medicaid | |
683750607 | Medicare PIN | ||
G25970 | Medicare UPIN | ||
TN | 3838184 | Medicare ID - Type Unspecified |