Provider Demographics
NPI:1891887964
Name:SONGLINGCO, OLIVER CHAMBERS (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:CHAMBERS
Last Name:SONGLINGCO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3800 HOLLYWOOD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-8510
Mailing Address - Country:US
Mailing Address - Phone:269-428-0819
Mailing Address - Fax:269-428-0841
Practice Address - Street 1:3800 HOLLYWOOD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-8510
Practice Address - Country:US
Practice Address - Phone:269-428-0819
Practice Address - Fax:269-428-0841
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301079124207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4382047Medicaid
MI4382047Medicaid
MI0N27670Medicare ID - Type Unspecified