Organization
OAKDELL MEDICAL SERVICES
Active
Other names
Michael K Obasi
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KALU OBASI (OWNER)
(517) 694-8808
Entity
Organization
Contact information
Practice address
2101 AURELIUS RD, SUITE 3A, HOLT, MI 48842-1380
(517) 694-8808
(517) 694-8868
Mailing address
2101 AURELIUS RD, SUITE 3A, HOLT, MI 48842-1380
(517) 694-8808
(517) 694-8868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003831918
NPI
MI
01
—
120457094
TRICARE NORTH
MI
05
—
4962950
—
MI
01
—
54-C3-1417-0
BCBS BLUE CARE NETWORK
MI
01
—
TXW 0013701
BEDDING LICENSE
TX
Enumeration date
07/12/2006
Last updated
08/17/2018
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