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Individual

ANDRE Z OULAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 COLUMBUS AVE STE 160, BAY CITY, MI 48708-6478
(989) 377-4477
(989) 894-6181
Mailing address
4 COLUMBUS AVE STE 160, BAY CITY, MI 48708-6478
(989) 377-4477
(989) 894-6181

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01055991A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
4301071554
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200371990
IN
Enumeration date
03/15/2007
Last updated
04/20/2021
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