Individual
MAX CIEMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 842-4464
(405) 841-5905
Mailing address
6430 N WESTERN AVE, OKLAHOMA CITY, OK 73116-7322
(405) 841-5905
(405) 840-0485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2852
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090840A
—
OK
Enumeration date
08/05/2006
Last updated
05/03/2017
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