Individual
DR. EMILY KATHRYN GREWE-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3316 E 21ST ST STE A, TULSA, OK 74114-1927
(918) 749-3533
(918) 749-9789
Mailing address
3316 E 21ST ST STE A, TULSA, OK 74114-1927
(918) 749-3533
(918) 749-9789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014019165
MO
207Q00000X
Family Medicine Physician
Primary
6172
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200713610A
—
OK
Enumeration date
06/18/2014
Last updated
07/21/2022
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