# MARTIN H GROTHEER MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891978490
- **Authorized official:** MS. SHELLY OAKLEY (MANAGER)
- **Authorized official phone:** (918) 542-6644

## Contact information

- **Practice address:** 10 S TREATY RD, MIAMI, OK 74354-5330
- **Practice address phone:** (918) 542-6644
- **Practice address fax:** (918) 542-6167
- **Mailing address:** PO BOX 1328, MIAMI, OK 74355-1328
- **Mailing address phone:** (918) 542-6644
- **Mailing address fax:** (918) 542-6167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10117 | OK | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 04/19/2012