Oldenburg, Michael S

Oldenburg, Michael S is an individual health care provider with primary practice located at 1860 Shawano Ave , Green Bay WI 54303-2667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Oldenburg, Michael S can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1860 Shawano Ave Green Bay WI 54303-2667
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 56672 Minnesota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 67254-20 Wisconsin

Profile Details

NPI number 1770847683
LBN Legal business name Oldenburg, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Feb 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770847683 NPPES
Wisconsin MEDICAID 100037584

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