Doctor Name: | OLIVER DAVID ATAR |
NPI Number: | 1508206673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 4301103804 |
Business Practice Address: | 1 Hurley Plaza Hurley Medical Center Flint, MI - 48503 |
Business Phone Number: | 8102629000 |
Business Fax Number: | |
Mailing Address: | 801 Tuuri Pl Apt 112, FLINT |
State: | MI |
Postal Code: | 485032441 |
Phone Number: | 5193282138 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2013 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301103804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |