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Individual
MR. PHILLIP OLIVEIRA
Active
Individual
MR. PHILLIP OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006969
MI
363A00000X
Physician Assistant
PAC1228
ND
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316284318
—
MI
Enumeration date
01/10/2013
Last updated
06/03/2026
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