Organization
MEDE, LLC
Active
Other names
Michael K. Van Antwerp, DC, PLLC, ZOVA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K VAN ANTWERP DC (OWNER)
(918) 259-3000
Entity
Organization
Contact information
Practice address
5508 S LEWIS AVE, TULSA, OK 74105-7105
(918) 259-3000
(918) 259-3002
Mailing address
5508 S LEWIS AVE, TULSA, OK 74105-7105
(918) 259-3000
(918) 259-3002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3629
OK
Other
Enumeration date
09/05/2007
Last updated
10/21/2021
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