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Individual

DR. MATTHEW DAVID WIEFELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 STANTON L YOUNG BLVD # 1464, OKLAHOMA CITY, OK 73104-5018
(405) 271-5504
Mailing address
1916 HERITAGE PARK DR APT 148, OKLAHOMA CITY, OK 73120-7547
(305) 992-8522

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
45936
OK

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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