Individual
MARY J OYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35622-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024301
PHYSICIANS PLUS
WI
05
—
32460100
—
WI
01
—
6439
DEAN HEALTH INSURANCE
WI
Enumeration date
05/18/2006
Last updated
11/27/2020
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