Individual
MR. MICHAEL ROBERT OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 MAIN STREET, OGDENSBURG, NY 13669
(315) 393-2611
(315) 393-2633
Mailing address
305 MAIN STREET, OGDENSBURG, NY 13669
(315) 393-2611
(315) 393-2633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
283259
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04381077
—
NY
Enumeration date
04/14/2011
Last updated
07/21/2022
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