Individual
MICHAL GERALYN CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1705 RENAISSANCE BLVD, STE 100, EDMOND, OK 73013-3041
(405) 285-7500
(405) 285-7501
Mailing address
1705 RENAISSANCE BLVD, STE 100, EDMOND, OK 73013-3041
(405) 285-7500
(405) 285-7501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1430
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057710A
—
OK
Enumeration date
08/24/2005
Last updated
02/11/2012
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