Individual
MR. MICHAEL CLARK FRETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.T.
Contact information
Practice address
1809 E 13TH ST, SUITE #400, TULSA, OK 74104-4419
(918) 599-8200
(918) 583-4678
Mailing address
11251 WESTFALL RD, SKIATOOK, OK 74070-5289
(918) 396-2468
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
NONE
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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