Individual
DR. MIKE GLENN NOLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 E OWEN K GARRIOTT RD, ENID, OK 73701-6156
(580) 237-8900
(580) 237-4111
Mailing address
915 E OWEN K GARRIOTT RD, ENID, OK 73701-6154
(580) 237-8900
(580) 237-4111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16957
OK
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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