Organization
NORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES OSETEK DMD (OWNER)
(231) 347-1601
Entity
Organization
Contact information
Practice address
322 BAY ST, PETOSKEY, MI 49770-2489
(231) 347-1601
Mailing address
322 BAY ST, PETOSKEY, MI 49770-2489
(231) 347-1601
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003892944
NPI INDIVIDUAL
MI
01
—
1174507495
NPI INDIVIDUAL
MI
Enumeration date
12/15/2006
Last updated
04/20/2008
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