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Individual

MICHAEL G DI GREGORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13301 N MERIDIAN AVE, SUITE 701, OKLAHOMA CITY, OK 73120-9369
(405) 751-6152
(405) 752-5158
Mailing address
13301 N MERIDIAN AVE, SUITE 701, OKLAHOMA CITY, OK 73120-9369
(405) 751-6152
(405) 475-2515

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
250
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200120080A
OK
Enumeration date
07/30/2007
Last updated
10/16/2013
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