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NPI Code Detail

MEDICARE: DANIEL DOMINGUES DE OLIVEIRA M.D.

MEDICARE: DANIEL DOMINGUES DE OLIVEIRA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician332837NY
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician4301116886MI

General Provider Information

NPI Number : 1982687026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DOMINGUES DE OLIVEIRA M.D.
Provider Business Mailing Address
First Line : 330 SEVEN SPRINGS WAY
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5098
Country : US
Telephone Number : 615-920-7000
Fax Number : 615-920-8775
Provider Business Practice Location Address
First Line : 850 W BARAGA AVE STE 20
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4550
Country : US
Telephone Number : 906-449-3440
Fax Number : 906-449-1952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 09/18/2024

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