Individual
MICHAEL S. OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 S FLOYD ST, 500, LOUISVILLE, KY 40202-1837
(502) 589-8033
(502) 589-0805
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 589-8033
(502) 589-0805
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
48382
KY
2084N0600X
Clinical Neurophysiology Physician
48382
KY
Other
Enumeration date
04/23/2009
Last updated
08/04/2015
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