Individual
MICHAEL HITSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 N FOREMAN ST, VINITA, OK 74301-1422
(918) 256-8731
(918) 256-8234
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6419
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200800080B
—
OK
Enumeration date
03/15/2017
Last updated
09/29/2021
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