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Individual

JEFF ROBERT FINKENSTAEDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3540 EAST 31ST, SUITE 2, TULSA, OK 74135-1526
(918) 747-8997
(918) 744-8011
Mailing address
3540 E 31ST ST, SUITE 2, TULSA, OK 74135-1500
(918) 747-8997
(918) 744-8011

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
192
OK
213ER0200X
Radiology Podiatrist
192
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
192
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100780500A
OK
Enumeration date
07/07/2005
Last updated
02/16/2010
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