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NPI Code Detail

MEDICARE: ERIN MICHELLE OBERST PA-C

MEDICARE:   ERIN MICHELLE OBERST  PA-C
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
1363A00000XPhysician Assistant2325OK

General Provider Information

NPI Number : 1902228877
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MICHELLE OBERST PA-C
Provider Business Mailing Address
First Line : 801 YORK ST
Second Line :
City : MANITOWOC
State : WI
Zip : 54220-4630
Country : US
Telephone Number : 920-663-9008
Fax Number : 920-684-1439
Provider Business Practice Location Address
First Line : 2644 NW 63RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-4902
Country : US
Telephone Number : 405-254-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2014
Last Update Date : 03/17/2026

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Directions to “ ERIN MICHELLE OBERST PA-C” Practice Location

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