Individual
DR. TERENCE E GREWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3316 E 21ST ST, SUITE A, TULSA, OK 74114-1967
(918) 749-3533
(918) 749-9789
Mailing address
3316 E 21ST ST, SUITE A, TULSA, OK 74114-1967
(918) 749-3533
(918) 749-9789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2368
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228760A
—
OK
01
—
100746500A
MEDICAID GROUP NUMBEF
OK
01
—
1073658092
NPI GROUP NUMBER
—
01
—
400522226
MEDICARE GROUP NUMBER
—
Enumeration date
05/11/2006
Last updated
03/04/2010
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