Individual
DR. SUSAN J HAKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3435 NW 56TH ST, SUITE 750, OKLAHOMA CITY, OK 73112-4448
(405) 945-4900
(405) 945-4901
Mailing address
3435 NW 56TH ST, SUITE 750, OKLAHOMA CITY, OK 73112-4448
(405) 945-4900
(405) 945-4901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10203
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080165172
RAILROAD MEDICARE
OK
05
—
100016240B
—
OK
Enumeration date
02/01/2006
Last updated
08/04/2011
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