Individual
MICHAEL V. OUIMETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-7808
Mailing address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301039723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600069
PHP
MI
05
—
2672870
—
MI
01
—
3003304611
BCBS MI INDIVIDUAL PIN
MI
01
—
310E210240
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
06/13/2006
Last updated
05/20/2008
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