Provider Demographics
NPI:1699337865
Name:CALIS, MERT (MD)
Entity type:Individual
Prefix:
First Name:MERT
Middle Name:
Last Name:CALIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:O.B.9.520
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:206-987-3256
Mailing Address - Fax:206-987-6504
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:O.B.9.520
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-987-3256
Practice Address - Fax:206-987-6504
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAFE609450752086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery