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Individual
MICHAEL JOHN OBERDING
Active
Individual
MICHAEL JOHN OBERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
177851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001001701
EXCELLUS
NY
05
—
01132127
—
NY
01
—
110315900
US DEPT LABOR
NY
01
—
177851-1
NYS WORKERS' COMP
NY
Enumeration date
01/23/2006
Last updated
01/05/2009
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