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Individual

JEREMY MARVIN OATS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1712 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-2805
(906) 230-8439
Mailing address
1712 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-2805
(906) 203-8439

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Enumeration date
10/06/2022
Last updated
10/06/2022
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