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Individual

DR. MICHAEL FREDERICK OSLEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205-6375
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117
(501) 975-7456
(501) 978-1822

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
E7380
AR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
E7380
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191894001
AR
01
5AP05F186
MEDICARE PTAN
AR
Enumeration date
06/29/2007
Last updated
05/06/2025
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