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General NPI Number Information
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NPI Number | 1265455299
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Entity Type | Organization
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Legal Business Name | OWOSSO INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 300 HEALTH PARK DR. SUITE 303
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City | OWOSSO
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State | MI
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Zip | 48867
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Country | US
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Telephone | 989-723-2299
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Fax | 989-729-9109
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Provider Business Mailing Address
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Address Line | 300 HEALTH PARK DR. SUITE 303
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City | OWOSSO
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State | MI
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Zip | 48867
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Country | US
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Telephone | 989-723-2299
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Fax | 989-729-9109
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID J MOHLMAN
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Credential | D.O.
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Telephone | 989-723-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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