MEDICARE: DR. WILLIAM FRANK OPPAT 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
1	2086S0129X	Vascular Surgery Physician	WO073870	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0P33080	OTHER	MI	PTAN

General Provider Information

NPI Number	:	1902873086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FRANK OPPAT M.D.

Provider Business Mailing Address
First Line	:	26850 PROVIDENCE PKWY STE 405
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-1263
Country	:	US
Telephone Number	:	248-465-4820
Fax Number	:	248-443-1706

Provider Business Practice Location Address
First Line	:	26850 PROVIDENCE PKWY STE 405
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-1263
Country	:	US
Telephone Number	:	248-465-4820
Fax Number	:	248-443-1706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	11/29/2024

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