Doctor Name: | MARGARET ANN OUELLETTE |
NPI Number: | 1144469750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAN ASSISTANT |
License Number: | 5601004354 |
Business Practice Address: | 38 4th St Florence Crane Correctional Facility Coldwater, MI - 49036 |
Business Phone Number: | 5172799165 |
Business Fax Number: | |
Mailing Address: | 38 4th St, Florence Crane Correctional Facility COLDWATER |
State: | MI |
Postal Code: | 49036 |
Phone Number: | 5172799165 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2009 |
NPI Last Update Date: | 02/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601004354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |