Individual
DR. DAVID F. OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S CENTER ST, SHELBINA, MO 63468-1404
(573) 588-4131
(573) 588-4876
Mailing address
6500 HOSPITAL DR, P.O. BOX 1239, HANNIBAL, MO 63401-6890
(573) 406-5888
(573) 248-5264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9F45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202266722
—
MO
Enumeration date
01/12/2006
Last updated
01/08/2016
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