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Individual

DR. MICHAEL OWOLABI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4111 FRANKLIN ST, MICHIGAN CITY, IN 46360
(219) 873-2919
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01081170A
IN
207P00000X
Emergency Medicine Physician
149896
CA
207Q00000X
Family Medicine Physician
125-065792
IL

Other

Enumeration date
07/24/2014
Last updated
03/17/2021
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