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Individual

JEFF ROBERT FINKENSTAEDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

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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