Provider Demographics
NPI:1922744010
Name:SOYLU OZTURK, ESRA (MD)
Entity Type:Individual
Prefix:
First Name:ESRA
Middle Name:
Last Name:SOYLU OZTURK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B-226 MAYO MEMORIAL BUILDING, MMC 292
Mailing Address - Street 2:420 DELAWARE STREET S.E.
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414
Mailing Address - Country:US
Mailing Address - Phone:612-626-5566
Mailing Address - Fax:612-626-5505
Practice Address - Street 1:B-226 MAYO MEMORIAL BUILDING, MMC 292
Practice Address - Street 2:420 DELAWARE STREET S.E.
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414
Practice Address - Country:US
Practice Address - Phone:612-626-5566
Practice Address - Fax:612-626-5505
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program