Obidike M Olisa MD

NPI 1184822181 - Family Medicine - 207Q00000X

NPI Details
NPI 1184822181
Gender Male
Enumeration Date 07/11/2007
Last Updated 10/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
N10565 GRANDVIEW LN
IRONWOOD MI, 49938-9622, US
Phone (906) 932-1500
Fax (906) 932-5630
Business Location
N10565 GRANDVIEW LN
IRONWOOD MI, 49938-9622, US
Phone (906) 932-1500
Fax (906) 932-5630
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301090895
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According to our database, Obidike M Olisa MD NPI is 1184822181, taxonomy code is 207Q00000X and license number is 4301090895, license state is located at Michigan. Obidike M Olisa MD physically located at N10565 Grandview Ln, Ironwood MI, 49938-9622. NPI Number Obidike M Olisa MD has the Individual type.

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1184822181 NPI number is provided on an as is basis without warranty of any kind. 1184822181 is maintained by the National Plan & Provider Enumeration System. The contents of Obidike M Olisa MD are for informational purposes only.