Individual
MR. OSCAR DEGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 W STATE STREET, SUITE 3, HASTINGS, MI 49058-1709
(269) 948-8015
(269) 948-8734
Mailing address
1108 W STATE STREET, SUITE 3, HASTINGS, MI 49058-1709
(269) 948-8015
(269) 948-8734
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301032130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044028
—
MI
01
—
160084067
BCBS
—
Enumeration date
08/16/2006
Last updated
10/29/2012
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