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NPI Code Detail

MEDICARE: MICHAEL ROY OSWALD MD

MEDICARE: MICHAEL ROY OSWALD MD
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
1207W00000XOphthalmology PhysicianMD.12052RLA
2207W00000XOphthalmology Physician200100584NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720073224
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROY OSWALD MD
Provider Business Mailing Address
First Line : 2421 CHURCH ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-2710
Country : US
Telephone Number : 225-654-1061
Fax Number : 225-654-0791
Provider Business Practice Location Address
First Line : 2421 CHURCH ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-2710
Country : US
Telephone Number : 225-654-1061
Fax Number : 225-654-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 02/13/2019

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Directions to “ MICHAEL ROY OSWALD MD” Practice Location

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