Individual
MICHAEL D OBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29201 TELEGRAPH RD, SUITE #606, SOUTHFIELD, MI 48034
(248) 356-8610
(248) 356-6473
Mailing address
29201 TELEGRAPH RD, SUITE #606, SOUTHFIELD, MI 48034
(248) 356-8610
(248) 356-6473
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301074191
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
4301074191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H262240
BLUE CROSS-BLUE CROSS
—
05
—
478697910
—
MI
01
—
MO074191
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/08/2006
Last updated
03/09/2021
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