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Individual

DAVID T OVERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6500
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301041048
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DO041048
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/03/2006
Last updated
12/18/2007
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