Organization
JOHN C OELTJEN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C OELTJEN MD, PHD (PRESIDENT)
(305) 974-1627
Entity
Organization
Contact information
Practice address
8740 SW 88TH ST, SUITE 218, MIAMI, FL 33176-2212
(305) 974-1627
(305) 596-6120
Mailing address
PO BOX 565715, MIAMI, FL 33256-5715
(305) 974-1627
(305) 596-6120
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME96192
FL
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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