Individual
MARY E OATEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546-8816
(616) 267-8520
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101010964
MI
Other
Enumeration date
04/05/2006
Last updated
04/29/2024
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