Organization
KUGLITSCH ENTERPRISES, INC
Active
Other names
Lawton Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KUGLITSCH MD (OWNER)
(920) 344-5237
Entity
Organization
Contact information
Practice address
3414 NW CACHE RD STE F, LAWTON, OK 73505-3878
(580) 771-2008
(817) 771-2030
Mailing address
3414 NW CACHE RD STE F, LAWTON, OK 73505-3878
(580) 771-2008
(580) 771-2030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
11/30/2017
Last updated
06/16/2018
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