Provider Demographics
NPI:1942202486
Name:TUURI, WILLIAM R (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:TUURI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 77000
Mailing Address - Street 2:DEPARTMENT 771036
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48277-2000
Mailing Address - Country:US
Mailing Address - Phone:586-447-4171
Mailing Address - Fax:586-447-4180
Practice Address - Street 1:15200 KERCHEVAL ST
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE PARK
Practice Address - State:MI
Practice Address - Zip Code:48230-1356
Practice Address - Country:US
Practice Address - Phone:313-417-6100
Practice Address - Fax:313-417-6107
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301406373207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2703019Medicaid
E83364Medicare UPIN
MIM75620041Medicare ID - Type Unspecified