Individual
DEBORAH OBERDOERSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5333MCAULEY DR, SUITE R5011, YPSILANTI, MI 48197-1020
(734) 572-8834
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301049833
MI
207R00000X
Internal Medicine Physician
4301049833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122642
—
MI
Enumeration date
10/11/2006
Last updated
03/27/2012
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