Individual
DR. MICHAELE C OOSTENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14700 KING RD, STE A, RIVERVIEW, MI 48193-7909
(734) 479-1944
(734) 479-1253
Mailing address
14700 KING RD, STE A, RIVERVIEW, MI 48193-7909
(734) 479-1944
(734) 479-1253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012716
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114235480
—
MI
Enumeration date
07/12/2005
Last updated
09/27/2012
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