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NPI Code Detail

MEDICARE: MS. BARBARA ANN OERTHER RN

MEDICARE:  MS. BARBARA ANN OERTHER  RN
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
1163W00000XRegistered Nurse4704058589MI

General Provider Information

NPI Number : 1073952701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA ANN OERTHER RN
Provider Business Mailing Address
First Line : 1301 PARKSIDE CT
Second Line :
City : OXFORD
State : MI
Zip : 48371-6056
Country : US
Telephone Number : 248-969-0757
Fax Number : 248-456-8151
Provider Business Practice Location Address
First Line : 1301 PARKSIDE CT
Second Line :
City : OXFORD
State : MI
Zip : 48371-6056
Country : US
Telephone Number : 248-969-0757
Fax Number : 248-456-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2013
Last Update Date : 06/16/2013

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Directions to “ MS. BARBARA ANN OERTHER RN” Practice Location

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