Individual
MICHAEL ADOLPH OLTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1609 N MEDICAL DR, STUTTGART, AR 72160-3274
(870) 673-7211
(870) 672-6823
Mailing address
PO BOX 1901, STUTTGART, AR 72160-1901
(870) 673-7211
(870) 672-6823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E6212
AR
207R00000X
Internal Medicine Physician
Primary
LL28005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100904105
—
AR
05
—
100907002
—
AR
05
—
129734729
—
AR
05
—
129735729
—
AR
05
—
136428729
—
AR
05
—
2010478729
—
AR
05
—
201477729
—
AR
05
—
201479729
—
AR
05
—
201481729
—
AR
05
—
201482729
—
AR
Enumeration date
10/24/2006
Last updated
05/13/2014
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