Individual
MICHAEL OUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2925
NCCSA
—
Enumeration date
06/19/2007
Last updated
05/18/2016
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