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Individual
MICHAEL RYAN OLDENBURG
Active
Individual
MICHAEL RYAN OLDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN259503
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN259503
GA
Other
Enumeration date
01/04/2020
Last updated
10/05/2021
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