Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Obada Douglas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811691082

Obada Douglas is a Student in an Organized Health Care Education/Training Program in Marquette, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2850 US Highway 41 W
Marquette, MI 49855-2253
Phone: (906) 629-1369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901601713 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811691082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address27056 Northmore St, Dearborn Heights, MI 48127-3644

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