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Individual

DAVID WAYNE OOSTING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9 W MAIN ST, # 10, FREMONT, MI 49412-1135
(231) 924-9870
(231) 924-6307
Mailing address
9 W MAIN ST, # 10, FREMONT, MI 49412-1135
(231) 924-9870
(231) 924-6307

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002490
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0146700001
NATIONAL GOVERNMENT SERVI
MI
01
0F26504
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/26/2007
Last updated
09/26/2007
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