| Doctor Name: | MICHAEL DEWITT OSBORNE |
| NPI Number: | 1689745556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 00702 |
| Business Practice Address: | 14634 Elkin Highway 268 Ronda, NC - 286709179 |
| Business Phone Number: | 3368352776 |
| Business Fax Number: | 3365268329 |
| Mailing Address: | 14634 Elkin Highway 268, RONDA |
| State: | NC |
| Postal Code: | 286709179 |
| Phone Number: | 3368352776 |
| Fax Number: | 3365268329 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 00702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |