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Individual

DR. MICHAEL DAVID OPPENHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1724 WOODLARK AVE, LEXINGTON, KY 40505
(310) 560-1466
Mailing address
1724 WOODLARK AVE, LEXINGTON, KY 40505-1422
(310) 560-1466

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38543
KY
207Q00000X
Family Medicine Physician
G24813
CA
208D00000X
General Practice Physician
Primary
38543
KY

Other

Enumeration date
05/29/2007
Last updated
02/27/2019
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