MR. Anthony Wayne Oldham

NPI #1275508665 in Traverse City, Michigan

Provider Information

NPI Number: 1275508665
Entity Type: Individual
Name: MR. Anthony Wayne Oldham
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Technician, Other
Enumeration Date: Feb 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1175 AIRPORT ACCESS RD
City: Traverse City
State: Michigan
ZIP Code: 49686-3513
Phone: (231) 922-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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