Organization
WHEATHEART MEDICAL CENTER, INC.
Active
Other names
R Walcher MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNA-LYN KLUFA APRN (APRN)
(580) 304-3093
Entity
Organization
Contact information
Practice address
600 E GRAND AVE STE 2, TONKAWA, OK 74653-3559
(580) 628-2557
(580) 629-2132
Mailing address
600 E GRAND AVE STE 2, TONKAWA, OK 74653-3559
(580) 628-2557
(580) 629-2132
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
103267
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200269930A
—
OK
05
—
200689890
—
OK
Enumeration date
07/06/2017
Last updated
07/21/2022
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