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Individual

DR. JAMES J OSETEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
322 BAY ST, SUITE 2, PETOSKEY, MI 49770-2489
(231) 347-1601
(231) 347-0330
Mailing address
322 BAY ST, SUITE 2, PETOSKEY, MI 49770-2489
(231) 347-1601
(231) 347-0330

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
JO013255
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B46032
BCBSM PROVIDER ID
MI
01
1154483014
NPI ORGANIZATION
05
2773425
MI
05
2773434
MI
05
3020517
MI
05
3020526
MI
01
JO013255
DENTAL LICENSE
MI
Enumeration date
12/22/2005
Last updated
03/07/2023
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