Organization
DR LUIS FELIX OXHOLM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FELIX OXHOLM D.O. (PRESIDENT)
(231) 935-0352
Entity
Organization
Contact information
Practice address
4020 COPPER VIEW DR., SUITE 211, TRAVERSE CITY, MI 49684-7098
(231) 935-0352
(231) 935-8110
Mailing address
4020 COPPER VIEW DR., SUITE 211, TRAVERSE CITY, MI 49684-7098
(231) 935-0352
(231) 935-8110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101010993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB8806
RAILROAD MCARE GRP.#
MI
01
—
P00134275
RAILROAD MCARE IND. #
MI
01
—
P81360
BLUE CARE NETWORK
MI
Enumeration date
10/13/2006
Last updated
08/22/2020
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